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Nursing Services Resources

Learn about nursing services offered by the Office of Developmental Disabilities Services.

Long-term care community nursing

The Long-term Care Community Nursing (LTCCN) program is designed to help individuals, their caregivers, foster home providers and services coordinators/personal agents. A registered nurse (RN) with the LTCCN program develops supports needed to help individuals with intellectual and developmental disabilities receiving Medicaid services manage their chronic health care needs while living in their own home or a foster home. LTCCN can provide the following services and supports:

  • A nursing assessment, medication review and service plan for the individual
  • Health education for the individual, caregivers, foster home providers and/or family members
  • Teaching for the individual who self-directs their care or family members on how to perform tasks of nursing
  • RN delegation of nursing care tasks provided by a non-family or paid care provider
  • Technical assistance and progress summaries to the case manager regarding the person's healthcare needs
  • Care coordination with the individual's medical and ancillary health providers

Learn more about LTCCN from this overview presentation (2015) or by visiting the LTCCN web page.

Direct nursing services

Direct nursing services (DNS) are designed to provide shift nursing to adults 21+ years of age with complex health management support needs that require continual assessment and reassessment, supervision, nursing treatments, therapies and interventions in their own home or a foster home.

An ODDS RN will complete n assessment using the DNS Criteria for Adults to determine eligibility for DNS services. Service coordinators and personal agents can send assessment requests to when an individual needs shift nursing supports to remain in their home or a foster home.

Complex nursing service needs

For children and young adults.

  • Medically Fragile Children's Waiver (birth-17)
  • Private duty nursing (18-20)

Nursing training and technical assistance

We strive to have all individuals safely serviced in-home and community-based care settings of their choice. We work closely with individuals, families, caregivers, service coordinators and personal agents to assist with hospital and nursing facility diversion and transition. If you have questions, email us at