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 Nevada Medicaid’s fiscal agent to request prior authorization for Private Duty Nursing services.

Provider
To request Private Duty Nursing services for a Medicaid recipient

• Complete the Private Duty Nursing Prior Authorization Request (FA-16B) and submit through the Provider Web Portal.
  • FA – 16B Form
  • FA - 16B Form Instructions

To enroll as a Medicaid Home Health provider

• Complete the enrollment process through Nevada Medicaid’s fiscal agent 
• Enroll as a Provider Type 29 – Home Health Agency