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The Minnesota Department of Human Services provides services for more than one million Minnesotans in 87 counties and 11 tribes.

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Private duty nursing hardship waiver

A hardship waiver allows certain relatives to be paid by Medical Assistance for providing private duty nursing services to their family members.

Relatives of consumers include:

  • Parent of a minor child
  • Non-corporate legal guardian or conservator
  • Spouse

The parent, spouse or legal guardian/conservator must meet all these criteria to be eligible for a hardship waiver:

  • Be a registered nurse or licensed practical nurse currently licensed in Minnesota
  • Be employed by a private duty nursing agency
  • Expect to continue non-reimbursed family responsibilities of primary caregiver and emergency backup caregiver
  • May only be employed by one agency
  • Pass a criminal background check

Who is eligible for a Hardship Waiver?

Relatives of the consumer must meet one of the following criteria to be eligible for a hardship waiver:

  • Has changed from full-time employment to part-time employment resulting in less compensation in order to provide private duty nursing services to the consumer
  • Has resigned from full-time or part-time employment specifically to provide PDN services to the consumer
  • Has taken a leave of absence without pay from employment in order to provide PDN services to the consumers
  • Is needed to provide an adequate number of qualified private duty nurses to meet the needs of the consumer because of labor conditions, specific language needs or intermittent hours of care

How do I apply for a Hardship Waiver?

A PDN Hardship Waiver Application DHS-4109 (PDF) needs to be completed and submitted to DHS for review and approval. Contact a PDN agency for employment and Hardship Waiver information. For more information, contact your local county agency (PDF).

Send an email to the DHS DSD Response Center if you are unable to find information about Disability Services Division programs and services.


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