Private duty nursing services means nursing services for beneficiaries who require more individual and continuous care than is available from a visiting nurse or routinely provided by the nursing staff of the hospital or skilled nursing facility. These services are provided—

1. (a) By a registered nurse or a licensed practical nurse;
2. (b) Under the direction of the beneficiary's physician; and

3. (c) To a beneficiary in one or more of the following locations at the option of the State—

   1. (1) His or her own home;
   2. (2) A hospital; or
   3. (3) A skilled nursing facility.

[52 FR 47934, Dec. 17, 1987]