Frequently Asked Questions for the Private Duty Nursing Directory
The Private Duty Nursing Medically Fragile Children and Adult Directory´s purpose is to promote the availability and ensure delivery of fee-for-service private duty nursing services to medically fragile children and adults.
Who is eligible to enroll to be in the Directory?
Fee-for-service (FFS) private duty nurses. Both independent nurses and nursing agencies.
When does it start?
The PDN Medically Fragile Children´s program transitions to the Medically Fragile Children and Adult Program effective April 1, 2022. Provider enrollment applications are now being accepted.
What is required to be in the directory?
Qualified providers enrolling in the directory shall ensure the availability and delivery of such services to individuals in need of private duty nursing services.
Where will the directory be located?
Who will use the directory?
Those seeking FFS private duty nursing services for medically fragile children and adults.
How do private duty nurses enroll?
– The enrollment application will be available on eMedNY with the other Private Duty Nurse Medicaid enrollment applications. The application form will contain both the Medically Fragile Children and Adult Training and Experience and the Medically Fragile Children and Adult Directory components of the program.
What is the Directory fee enhancement?
Effective 4/1/22, the Directory enhancement is 45% and will be applied at the time of claims processing to the appropriate base fee based on region and licensure. Providers also enrolled in the Medically Fragile Children and Adult Training and Experience program will have the Directory fee enhancement applied after the application of (in addition to) the Medically Fragile Children and Adult Training and Experience fee adjustment.
Where will the regional base fees be located?
The fee schedule is available here.
Are nurses eligible for the Medically Fragile Children and Adult Training and Experience
fee enhancement and the Medically Fragile Children and Adult Directory enhancement?
Yes. The 30% training and experience fee enhancement is available to enrolled providers in the Medically Fragile Children and Adult Training and Experience component of the program.
Will there be more information available?
Yes, additional information will be available on eMedNY and the NYS Department of Health website. Please subscribe to the eMedNY Private Duty Nursing LISTSERV
Questions?
For provider enrollment questions contact the eMedNY Call Center at 800-343-9000. For FFS prior approval questions contact the OHIP Call Center at 800-342-3005.
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