PDN Regional Fees

NYS Medicaid Private Duty Nursing Services Fee Schedule

Effective Date: October 1, 2020

• Fees also available in Portable Document Format (PDF)

CODE	DESCRIPTION	UPSTATE REGION FEE	DOWNSTATE REGION FEE
S9123	NURSING CARE, IN THE HOME; BY REGISTERED NURSE, PER HOUR	27.30	30.90
	HIGH TECH RN-PER HOUR	31.31	33.99
S9124	NURSING CARE, IN THE HOME; BY LICENSED PROFESSIONAL NURSE, PER HOUR	22.92	24.72
	HIGH TECH LPN- PER HOUR	25.93	28.84

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DISCLAIMER

This online directory provides a list of enrolled New York State Medicaid Program fee-for-service - private duty nursing services providers who provide Medicaid-reimbursed services to medically fragile children and individuals who are between 21 to 23 years of age. The providers listed are not employees of the Department of Health. The Department of Health cannot recommend or refer you to a private duty nursing provider. This online directory provides a list of providers, and the information contained herein is updated periodically. However, some providers may have been added or removed from the list (and/or contact information may have changed) since this directory was last updated. The New York State Medicaid Program suggests that you contact the providers listed in this directory to confirm that the information remains current. Prior approval by the Department of Health is required before services can be provided.