MedicaidPrior AuthMedium impact
Attention Provider Type 29 (Home Health Agency and Private Duty Nursing Services): Reminder of Requirements for Recipients Admitted to an Acute Facility During a Private Duty Nursing (PDN) Certification Period
Nevada Medicaid·NV · Family Medicine, General Practice·Provider Enrollment
Effective date
Dec 19, 2024
We identified it
Jun 21, 2026
Summary
Nevada Medicaid reminds home health agencies that when Private Duty Nursing (PDN) recipients are hospitalized for 24+ hours, providers must submit termination notifications and obtain new prior authorization plus a new Plan of Care before resuming services after discharge.
Action Required
Immediately: Home health billing teams must establish workflow to submit FA-29A termination notifications to Gainwell Technologies when PDN recipients are hospitalized 24+ hours. Upon patient discharge, obtain new prior authorization and newly signed Plan of Care before resuming PDN services. Update comprehensive assessments within 48 hours of return from hospital per CFR requirements. Contact Gainwell at (877) 638-3472 for assistance.