MedicaidCoverageMedium impact
COVID-19: Private Duty Nursing Services
Missouri Medicaid (MO HealthNet)·MO·Provider Notice
Effective date
Apr 29, 2020
We identified it
Jun 20, 2026
Summary
Missouri Medicaid now allows reimbursement for private duty nursing services provided by licensed family members or legal guardians during COVID-19, with specific hour limitations and employment requirements through enrolled PDN agencies.
Action Required
Immediately: Billing team must verify that family member/legal guardian PDN providers have valid RN or LPN licenses in Missouri and are employed by MO HealthNet enrolled PDN agencies. Update billing system to enforce 12-hour daily and 40-hour weekly limits for family member caregivers. Ensure claims do not exceed these thresholds or they will be denied.