Okla. Admin. Code § 317:30-5-555
Private Duty Nursing (PDN)
Effective Mar 1, 202643 Ok Reg, Number 9Added at 23 Ok Reg 33, eff 8-1-05 (emergency); Added at 23 Ok Reg 1364, eff 5-25-06; Amended at 28 Ok Reg 14, eff 8-13-10 (emergency); Amended at 28 Ok Reg 1429, eff 6-25-11; Amended at 37 Ok Reg 1605, eff 9-14-20; Amended at 39 Ok Reg 1523, eff 9-12-22; <div>Amended at 43 Ok Reg, Number 9, effective 3-1-26 (emergency)</div>Oklahoma Health Care Authority
PDN is medically necessary care provided on a regular basis by a licensed practical nurse or registered nurse. PDN is the level of care that would routinely be provided by the nursing staff of a hospital or skilled nursing facility. PDN services are provided:
(1) In the member's primary residence, unless it is medically necessary for a nurse to accompany the individual in the community.
- (A) The individual's place of residence is wherever the individual lives, whether the residence is the individual's own dwelling, a relative's home, or other type of living arrangement. The place of residence cannot include a hospital, nursing facility, or intermediate care facility for individuals with intellectual disabilities (ICF/IID).
- (B) The place of service in the community cannot include the residence or business location of the provider of PDN services unless the provider of PDN is a live-in caregiver.
(2) To assist during transportation to routine, Medicaid-compensable health care appointments and/or to the nearest appropriate emergency room.
- (A) The private duty nurse may not drive the vehicle during transportation.
- (B) PDN services are not available for non-routine extended home absences unrelated to medically necessary treatment or medical care. [Refer to Oklahoma Administrative Code 317:30-5-558(4) and (13)].
Added at 23 Ok Reg 33, eff 8-1-05 (emergency)
Added at 23 Ok Reg 1364, eff 5-25-06
Amended at 28 Ok Reg 14, eff 8-13-10 (emergency)
Amended at 28 Ok Reg 1429, eff 6-25-11
Amended at 37 Ok Reg 1605, eff 9-14-20
Amended at 39 Ok Reg 1523, eff 9-12-22
<div>Amended at 43 Ok Reg, Number 9, effective 3-1-26 (emergency)</div>