DMAP administrative rules and supplemental information for:
Private duty nursing services program
Receive
Private Duty Nursing services program updates by e-mail
Rulebook
July 1, 2011 (pdf) (Current administrative rules. See below for archived rules.)
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Supplemental information
Private Duty Nursing Services Supplemental Information (pdf) - Updated 11/5/10 - Includes information about prior authorization (PA), billing instructions, billing forms, and PA forms.
Copayment chart (pdf) (effective 6/19/04)
Forms
EDMS Coversheet (pdf) - Use this form whenever you fax documentation for prior authorization requests, provider enrollment requests, or claims to DMAP.
DHS Prior Authorization Request Form - Use this form to submit faxed PA requests to DMAP. Click here for instructions. You can also submit the same information using the Provider Web Portal. Read the handbook or view the tutorial for more information about submitting PA requests on the Web.
Psychosocial Grid (pdf)
Acuity Grid (pdf)
Who to call for help
Provider Services 800-336-6016 or e-mail us
Address
and telephone contacts