Does Medicaid Cover Private Duty Nursing in Michigan?

Yes. Michigan Medicaid frequently covers medically necessary private duty nursing for eligible children with complex medical needs, and many commercial plans do too. Coverage depends on physician orders and a medical-necessity review. Our intake team verifies benefits and helps navigate authorization.

For families caring for a medically complex child, private duty nursing can be the difference between care at home and care in a facility. A common first question: will Medicaid pay for it?

Does Michigan Medicaid cover private duty nursing?

In many cases, yes. Michigan Medicaid frequently covers medically necessary private duty nursing for eligible children with complex needs. Commercial insurance plans may also cover it. Coverage is based on the child's physician orders and a medical-necessity determination.

What affects coverage and hours?

• The child's documented medical needs and physician orders
• A medical-necessity review by the payer
• Approved nursing hours (extended day, overnight, or around-the-clock)

How do we get started?

Call our intake team. We confirm eligibility and benefits, coordinate with your child's physician on the plan of care, and help navigate the authorization process. Then a skilled nurse begins care on your schedule.

What conditions can in-home nursing support?

Our ACHC-accredited nurses support tracheostomy, ventilator, IV therapy, GI/gastrostomy feeding, respiratory and cardiac care, complex mobility, and palliative needs.

Not sure where to start? Talk to our intake team.