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
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.

To request Private Duty Nursing services for a Medicaid recipient
    • Complete and fax the Home Health Agency Prior Authorization Request (FA-16) to Nevada Medicaid’s fiscal agent at (866) 480-9903.

           o FA – 16 Form

To enroll as a Medicaid Private Duty Nursing provider
• Complete the enrollment process through Nevada Medicaid’s fiscal agent

• Enroll as a Provider Type 29 – Home Health Agency

Billing information