Private Duty Nursing (PDN)
Private Duty Nursing (PDN) is substantial, complex, and continuous skilled nursing care provided in the home for medically fragile Medicaid beneficiaries. This service is considered supplemental to the care provided by a beneficiary’s family or designated caregivers, and allows the beneficiary to remain in their residence rather than an institution. Prior approval (PA) is required for PDN services, and is granted based on the beneficiary’s medical necessity and fragility.
Eligible Direct Care Workers One-Time Bonus and Wage Increase
The Current Operations Appropriations Act of 2021 approved a Medicaid budget provision to give a one-time bonus to eligible direct care workers (DCWs) and support staff who provide services to Medicaid and NC Health Choice beneficiaries. The State budget also includes a provision to implement a home- and community-based services (HCBS) and intermediate care facility/individuals with intellectual disabilities (ICF-IID) DCW wage increase for eligible employees who provide services to Medicaid and NC Health Choice beneficiaries.
Details about the three categories of eligibility criteria can be found in the following NC Medicaid provider bulletins, posted Jan. 14, 2022:
- COVID-19 BULLETIN #212 One-Time Bonus: DCWs and support staff in waiver programs, personal care services, home health and others may be eligible for a one-time bonus.
- COVID-19 BULLETIN #213 ICF-IID Wage Increase: DCWs in Intermediate Care Facilities for Individuals with Intellectual Disabilities may be eligible for a wage increase.
- COVID-19 BULLETIN #214 HCBS Wage Increase: DCWs providing home- and community-based service may be eligible for a wage increase.
NC Medicaid will hold webinars from Jan. 19-25, 2022, to provide an overview of the wage increase and bonus program. Webinar information is located in the provider bulletins listed above.
Meetings/Events
As valued partners of NC Medicaid, we are requesting your participation in a summer engagement session for Private Duty Nursing (PDN) stakeholders. The purpose of this session is to share, and discuss updates previously submitted, as well as share additional Long -Term Services & Supports updates.
Please share this invitation with your beneficiaries and their caregivers.
Date: Sept. 16, 2021
- PDN Public Stakeholder Presentation - Sept. 16, 2021
- PDN QI Data - Sept. 16, 2021
- PDN Q&A - Sept. 16, 2021
Date: Dec. 17, 2020
Policies and FAQ
Resources
- Fee Schedule
- Medicaid Bulletins and Indexes
- PDN Document Checklist
- PDN Forms
- PDN Beneficiary Fact Sheet
- PDN School Fact Sheet
- PDN Stakeholder Invitation
Contact
NC Medicaid Clinical Section
Phone: 919-855-4380
Medicaid.HomeCareService@dhhs.nc.gov
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