MedicaidAdministrativeMedium impact
Attention Provider Type 29 (Home Health Agency and Private Duty Nursing Services): Clarification of Web Announcement 3795
Nevada Medicaid·NV·Provider Enrollment
Effective date
Feb 26, 2026
We identified it
Jun 21, 2026
Summary
Nevada Medicaid corrected a previous announcement stating that Private Duty Nursing (PDN) services must be terminated when a recipient is hospitalized for 24+ hours. Providers may now choose to suspend rather than terminate services during hospitalization, but cannot bill for dates when the recipient is hospitalized and not receiving PDN services.
Action Required
Immediately: Billing team must update PDN billing procedures to allow suspension (rather than mandatory termination) of services during patient hospitalizations of 24+ hours. Ensure billing system prevents claims for dates when recipients are hospitalized and not receiving PDN services. Review any PDN authorizations currently terminated due to hospitalization and consider reactivating if services will resume within the authorization period.