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.

Meetings/Events

June 2020 PDN Stakeholder Meeting Postponed

NC Medicaid has elected to cancel the PDN Stakeholder meeting scheduled for June 26, 2020. Updates and additional information will be provided in an email sent to the stakeholder group by July 1, 2020.

North Carolina continues to be under a State of Emergency set forth by an executive order issued by Governor Roy Cooper on March 10, 2020. The Department of Health and Human Services has made many recommendations to slow the spread of COVID-19 and reduce the number of people infected. As we continue in Phase 2 of lifting some of the restrictions that were initially recommended, NC Medicaid continues to practice social distancing, resulting in the cancellation of face-to-face meetings during this time.

Much of the work during these past three months has been related to responding to the immediate needs of our beneficiaries and providers to ensure their safety and access to care. These responses and flexibilities have been provided by means of Special COVID-19 Medicaid Bulletins. 

Stakeholders may submit questions via email to Medicaid.Homecareservice@dhhs.nc.gov.

• PDN Stakeholder Meetings and Listening Sessions
• June Stakeholder Updates

Policies and FAQ

• Community-Based Services Clinical Coverage Policies (including PDN)

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