Methodology / Rules
The Private Duty Nursing (PDN) program rules are located at Title 1 of the Texas Administrative Code, Part 15, Chapter 363, SubChapter C, Rules 301-317.
Reimbursement rules applicable to Private Duty Nursing (PDN) are located at Title 1 of the Texas Administrative Code, Part 15, Chapter 355, SubChapter J, Division 23, Rule 8441(3).
The fee schedules and any periodic adjustment(s) to the fee schedules are published in banner messages contained in provider Remittance and Status (R&S) reports, Medicaid Bulletin articles, web postings, provider manual, fee schedules or other provider notification.
Payment Rate Information
Payment rate information is published by procedure code in the applicable Texas Medicaid Fee Schedule located on the Texas Medicaid & Healthcare Partnership (TMHP) website (see Fee Schedules).