23 Miss. Code. R. 223-4.5 - Discontinuation of Private Duty Nursing (PDN) Services

Private duty nursing (PDN) services will be discontinued when one (1) or more of the following is met:

A. When all of the following exist:

1. Beneficiary's condition is clinically stable,

2. The licensed nurses' skills are not required to provide ongoing nursing assessment and/or treatment,

3. Beneficiary demonstrates the ability to carry out self-management,

4. Caregiver(s) demonstrates the ability to carry out management of the beneficiary's condition, and

5. When the transition is complete.

B. The beneficiary's care and needs can be met through custodial care.

C. When home-based care is unsafe and:

1. The PDN provider immediately reports the unsafe environment or imminent danger to the beneficiary, caregiver or provider to the Division of Medicaid, the beneficiary's physician and all appropriate authorities including, but not limited to:

a) Local law enforcement,

b) The Mississippi Department of Child Protection Services, and/or

c) Other appropriate authorities designated in state or federal law.

2. The PDN provider has assisted the beneficiary in transitioning to a safe environment to the extent possible without endangering the beneficiary, caregiver or service provider.

3. The PDN provider has made every effort to transition the beneficiary to a safer environment.

Notes

23 Miss. Code. R. 223-4.5

42 C.F.R. § 440.80; Miss. Code Ann. §§ 43-13-117, 43-13-121.

Adopted 4/1/2020 Amended 6/1/2020 Amended 7/1/2020