Update: Automatic Extension of Private Duty Nursing Authorizations

Due to the continuing COVID-19 public health emergency, Horizon NJ Health will extend the waiver of certain administrative requirements for prior authorization, including for Private Duty Nursing (PDN).

Existing authorizations for PDN that are due for renewal on or before July 31, 2020, will automatically be extended for 60 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, it will be voided and the prior authorization will automatically be extended. 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.

Have Questions?

If you have questions about PDN services and authorization for:

  • Horizon NJ Health, Core Medicaid, Early and Periodic Screening, Diagnostic and Treatment members, call Jeremy Payonk, Director, Medicaid Care and Case Management at 1-800-682-9094, ext. 53088
  • 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, ext. 53125