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Jul 1, 2020

Private Duty Nursing – Change in claim submission

Effective September 1, 2020 there will be a change in the health services codes to be submitted for Private Duty Nursing services. Claims must be submitted with T1000 for services that have been approved. This change is applicable to commercial products as Private Duty nursing is not a covered benefit for BlueCHiP for Medicare members. Prior authorization continues to be recommended for commercial products. Authorization will continue to be requested through our authorization portal, MHK. Please see the full text of the policy here.