Private Duty Nursing (PDN)

Private Duty Nursing (PDN) is a substantial, complex and continuous skilled nursing care that is considered supplemental to the care provided to a beneficiary by the beneficiary’s family, foster parents and delegated caregivers, as applicable Private Duty Nursing services as defined by 42CFR 440.80. Private Duty Nursing services are for a beneficiary who may require more individual and continuous care than is available from a visiting nurse or routinely provided by the nursing staff of the hospital or skilled nursing facility. 

Effective July 28, 2024, Private Duty Nursing prior approval (PA) services transitioned from NC Medicaid to NC Tracks. PA inquires should be directed to GDIT at 1-800-688-6696 or PDN.Ticket@gdit.com.

Resources

• Fee Schedule
• Medicaid Bulletins and Indexes
• PDN Forms
• PDN Beneficiary Fact Sheet
• Private Duty Nursing for Beneficiaries Age 21 and Older
• Private Duty Nursing for Beneficiaries Under 21 years of Age

Contact

NC Medicaid Clinical Section
Phone: 919-855-4380
Medicaid.HomeCareService@dhhs.nc.gov

GDIT
1-800-688-6696
PDN.Ticket@gdit.com