Private duty nursing services.

Private duty nursing services means nursing services for beneficiaries who require more individual and continuous care than is available from a visiting nurse or routinely provided by the nursing staff of the hospital or skilled nursing facility. These services are provided— (a) By a registered nurse or a licensed practical nurse; (b) Under the direction of the beneficiary's physician; and (c) To a beneficiary in one or more of the following locations at the option of the State— (1) His or her own home; (2) A hospital; or (3) A skilled nursing facility. [52 FR 47934, Dec. 17, 1987]