APA WF 24-05 Private Duty Nursing Coverage & Limitations
The Oklahoma Health Care Authority proposes emergency policy revisions to provide families and PDN agencies with the flexibility to staff cases according to the family's need and the member's level of care. Revisions will clarify the criteria for virtual visits when a member is assessed for PDN services. Other policy revisions will change the designated care hours from "per day" to "per week". Language will be amended to reflect maximum hours authorized from 16 hours per day to 112 hours per week. Revisions will also add that a member's medical necessity can be determined by an OHCA physician's appointed designee.
Please view the circulation document here: APA WF #24-05 and submit feedback via the comment box below.
Circulation Date: 01/02/2024
Comment Due Date: 01/17/2024
Medical Advisory Committee (MAC) Meeting: 03/07/2024
Board Meeting: 03/20/2024
Submit a Comment
After you submit your comment, you should be re-directed to a confirmation page. If you are not, please submit your comment through e-mail to federal.authorities@okhca.org.
Please note that all comments must be reviewed and approved prior to posting. Approved comments will be posted Monday through Friday between the hours of 7:30 a.m. – 4 p.m. Any comments received after 4 p.m. will be posted on the following business day.
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