Okla. Admin. Code § 317:30-5-555
Current through Vol. 42, No. 3, October 15, 2024
Section 317:30-5-555 - Private Duty Nursing (PDN) PDN is medically necessary care provided on a regular basis by a licensed practical nurse or registered nurse. PDN is the level of care that would routinely be provided by the nursing staff of a hospital or skilled nursing facility. PDN services are provided:
(1) In the member's primary residence, unless it is medically necessary for a nurse to accompany the individual in the community. (A) The individual's place of residence is wherever the individual lives, whether the residence is the individual's own dwelling, a relative's home, or other type of living arrangement. The place of residence cannot include a hospital, nursing facility, or intermediate care facility for individuals with intellectual disabilities (ICF/IID).(B) The place of service in the community cannot include the residence or business location of the provider of PDN services unless the provider of PDN is a live-in caregiver.(2) To assist during transportation to routine, Medicaid-compensable health care appointments and/or to the nearest appropriate emergency room. (A) The private duty nurse may not drive the vehicle during transportation.(B) PDN services are not available for non-routine extended home absences unrelated to medically necessary treatment or medical care. [Refer to Oklahoma Administrative Code 317:30-5-558(4) and (13)] .Okla. Admin. Code § 317:30-5-555
Added at 23 Ok Reg 33, eff 8-1-05 (emergency); Added at 23 Ok Reg 1364, eff 5-25-06; Amended at 28 Ok Reg 14, eff 8-13-10 (emergency); Amended at 28 Ok Reg 1429, eff 6-25-11Amended by Oklahoma Register, Volume 37, Issue 24, September 1, 2020, eff. 9/14/2020Amended by Oklahoma Register, Volume 39, Issue 24, September 1, 2022, eff. 9/12/2022