May a student receive private duty nursing in school?
Yes, private duty nursing is a Medicaid service under the Medicaid Children’s Services CCP program and is primarily available outside the school setting. Private duty nursing services require prior authorization from TMHP and can be delivered in the student’s residence, the student’s school, or the daycare facility. If the private duty nursing services meet all of the student’s nursing services needs documented in the IEP, then the district should note in the student’s IEP that the student’s nursing services needs are being met through private duty nursing services. In this situation, the school district would not bill SHARS for any reimbursement for nursing services. Arrangements can be made with the private duty nursing provider such that the school district performs some nursing services required by the IEP and bills SHARS for reimbursement for those specific nursing services, while the private duty nursing provider delivers all other nursing services. If there are conflicts between
