New Update for Automatic Extension of Private Duty Nursing Authorizations
Due to the continuing COVID-19 public health emergency, Horizon NJ Health is extending the waiver of certain administrative requirements for prior authorization for Private Duty Nursing (PDN).
Existing authorizations for PDN that are due for renewal on or before November 30, 2020, will automatically be extended for 90 days. This applies to existing PDN authorizations for all Horizon NJ Health (including MLTSS) and Horizon NJ TotalCare (HMO D-SNP) members.
If you submitted a request to renew an existing PDN authorization through the Utilization Management Request Tool, we will void the request and automatically extend the prior authorization. No further action is needed at this time.
New requests or changes to existing requests are not impacted by this extension. Please submit new requests or changes for PDN services as you do today. As we approach a new year, please ensure you contact the member’s primary coverage for requests. Also, please continue to follow the standard process for members who have Third Party Liability coverage.
If you have questions about PDN services and authorization for:
- Horizon NJ Health, Core Medicaid, Early and Periodic Screening, Diagnostic and Treatment members, call Vivian Keller, Director of Utilization Management at 1-800-682-9094 x45684
- Horizon NJ TotalCare (HMO D-SNP), Division of Developmental Disabilities Supports Plus PDN and MLTSS (pediatric and adult) members, call Carol Cianfrone, Director, MLTSS at 1-800-682-9094 x53125
Thank you for your continued support.