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Private Duty Nursing

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May 3, 2024 Letter Re: Community Providers in a School Setting

The Private Duty Nursing (PDN) program provides skilled nursing services on a continuous basis to Health First Colorado members in their place of residence. A plan of care as ordered by the attending physician is developed by the Home Health agency. The plan of care is reviewed periodically by the physician.

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Who Qualifies?

Health First Colorado Members who*:

  • Require continuous skilled nursing services and meet medical necessity and criteria 
  • Are not residing in a nursing facility or hospital at the time PDN services are delivered
  • Are technology dependent 
  • Have a care plan developed by their physician
  • Are able to be safely served in their home by a home health agency under the agency requirements and limitations of the PDN benefit and with the staff services available

* = Not an exhaustive list for eligibility 

Benefits and Services

  • Skilled Nursing Services (provided by a Registered Nurse or Licensed Practical Nurse)
  • All Private Duty Nursing services must be prior authorized

Stakeholder Engagement Opportunities 

Policy Team Office Hours

Office Hours Question and Answer Log

  • Next Meeting: May 14, 2024 from 1:00 to 2:30 p.m.
    Join via Google Meet
    Join via Phone: 1-321-430-0021‬  PIN: ‪928 613 877‬#

Quarterly Home Health and PDN Newsletter

  • First issue available July 1, 2024
  • Sign up to receive newsletters via the Stakeholder Engagement Interest Form
    • Topics will include an overview of meetings held during the previous quarter, a summary of progress from workgroups, education and training topics, collaborative topics with CDPHE, program reminders, and notices of upcoming events. 
    • Newsletters will be housed for reference on the Home Health webpage.

PDN Rule Revision Meetings

January 11, 2024

October 26, 2023

October 3, 2023

August 31, 2023

June 29, 2023

April 27, 2023

February 23, 2023

November 10, 2022

  • Webinar Recording
    • Description: This information session is for members and families, it will include the content covered in the first session with additional updates from the question and answer session.

November 1, 2022

  • Webinar Recording
    • Description: This information session is geared towards families and includes an overview of recent updates to Private Duty Nursing, addressed frequent questions about the Temporary Administrative Approval process, and provides time for a question and answer period.

Resources

Contacts

Email: HomeHealth@state.co.us