PDN is available for individuals who have complex medical needs, which cannot be met by the four- (or fewer) hour duration of the intermittent nursing service that is available through the Medicaid state plan home health services benefit.
Individuals of any age may receive PDN, when ordered by a treating physician, if they:
- Are Medicaid eligible,
- Require more than four hours, but fewer than, or equal to, 12 hours of continuous skilled nursing services, and
- Meet the level of care required for enrollment on PDN.
Applying for PDN:
- Individuals enrolled on a Medicaid managed care plan (such as Buckeye, CareSource, Molina, Paramount, or United Health Care), should contact their managed care coordinator and tell him or her they want to apply for PDN. Their care coordinator will help them access the PDN service.
- Individuals enrolled on a home and community-based services waiver, should contact their waiver case manager and tell him or her they want to apply for PDN. Their case manager will help them access the PDN service.
- Individuals not enrolled on a managed care plan or a home and community-based services waiver should talk to their physician. A physician may write an order for continuous skilled nursing, if medically necessary, which is given to a provider authorized by Medicaid to provide PDN services to arrange for the services.
For more information, please call the Bureau of Long-Term Care Services and Supports at (614) 466-6742 or email PDN_BCSP@medicaid.ohio.gov