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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#- These meetings will be held for training and technical assistance and will be hosted by HCPF policy staff on the second Tuesday of every month.
- These meetings will be an open forum for questions and information sharing.
- Stakeholders can submit questions or topics for discussion before the meeting via email to homehealth@state.co.us or submit them through the live queue.
- View the meeting calendar on the Office of Community Living Stakeholder Engagement Page
- Submit questions/topics of discussion via the Stakeholder Engagement Interest Form
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
- 8.540 PDN Rule Revision - Draft - May 2024
- Listening Log - Updated February 16, 2024 - Tracks stakeholder engagement, feedback, and Department responses
PDN Rule Revision Training
July 2, 2024 from 2:00 to 3:00 p.m.
- Join via Google Meet
- Join via Phone: 1-219-351-0260 PIN: 467 043 296#
- This training will be directed toward Class A Home Health Agencies that provide Private Duty Nursing (PDN) services. Members, families, and advocates would also benefit from this session and are highly encouraged to attend. This educational webinar will discuss the revised language for the PDN rule and provide recommendations for Home Health Agencies on implementation. Presentation materials will include a crosswalk of changes and other reference materials. This webinar will be recorded, and presentation materials will be available following the meeting.
January 11, 2024
- PDN Rule Review Agenda
- 8.540 Rule - Full Draft - December 2023
- 8.540 Rule - Clean Copy - December 2023
- Presentation
- Webinar Recording
October 26, 2023
- PDN Rule Review Agenda
- 8.540 Rule Draft - October 26, 2023
- Presentation
- Webinar Recording
October 3, 2023
August 31, 2023
- PDN Rule Review Agenda
- 8.540.2-5 Benefits and Eligibility Rule Draft - August 31, 2023
- Presentation
- Webinar Recording
June 29, 2023
- PDN Rule Review Agenda
- 8.540.6 Provider Requirements Draft - June 29, 2023
- Presentation
- Webinar Recording
April 27, 2023
- PDN Rule Review Agenda
- 8.540.7-8 PDN Rule Revision - Draft - April 27, 2023
- Presentation
- Webinar Recording
February 23, 2023
- PDN Rule Review Agenda
- 8.540.7.A-C PDN Rule Revision-Draft - February 2023
- 8.540 PDN Rule - Current
- Presentation
- Webinar Recording
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
- Private Duty Nursing FAQ page
- PAR Approval and Denial Rates - April 2024
- Medical Services Board (MSB) Questions From Stakeholders and Department Responses - Updated May 3, 2023
- PAR Step Down Process - April 2023
- Informational Memo - IM 23-009 - PDN PAR Update for Members, Families, and Advocates - March 17, 2023
- Informational Memo - IM 23-010 - PDN PAR Update for Providers - March 17, 2023
- Private Duty Nursing Regulations 10 CCR 2505-10 8.540
- Private Duty Nursing Billing Manual
- Colorado PAR Program
- PDN Acuity Tool
Contacts
Email: HomeHealth@state.co.us