Long Term Support Services - Home Care Unit


Private Duty Nursing

Private Duty Nursing services provide more individual and continuous care than is available from a home health nursing visit.

Private Duty Nursing Medicaid Services Manual (MSM): Refer to Regulatory section
   
Recipient
A doctor’s order is required for Private Duty Nursing services.  Your healthcare provider will submit the doctor’s order to a Medicaid enrolled Home Health Agency.  The agency will submit the required documentation to HPES to request prior authorization for Private Duty Nursing services.

Provider
To request Private Duty Nursing services for a Medicaid recipient
    • Complete and fax the Home Health Agency Prior Authorization Request (FA-16) to Hewlett Packard     Enterprise Services at (866) 480-9903.
           o FA – 16 Form

To enroll as a Medicaid Private Duty Nursing provider
Complete the enrollment process through HPES
• Enroll as a Provider Type 29 – Home Health Agency

Billing information

Last Edited: 2/2/2016