This report was commissioned by the Home Care and Hospice Association of Colorado.  The report derives the Medicaid payment rate increase needed to attract adequate private duty nursing (PDN) service capacity in Colorado.  We’ve estimated the cost to the Medicaid agency these rate increases will create — including the rate increase and the enhanced PDN capacity the higher payments can be expected to yield.  The report also estimates the offsetting Medicaid savings that the increased PDN support can be expected to create via shortening and preventing hospitalizations.