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Nutrition Services

Nutrition Services shall mean assessment of nutritional needs, nutritional counseling, and education of the waiver participant and of caregivers responsible for food purchase, food preparation, or assisting the waiver participant to eat.  Nutrition Services must be provided in accordance with therapeutic goals and objectives specified in a plan of care developed by a dietitian or nutritionist.  A dietitian or nutritionist who provides Nutrition Services must provide services within the scope of licensure and must be licensed as required by the State of Tennessee.  Nutrition Services are intended to promote healthy eating practices and to enable the waiver participant and direct support professionals to follow special diets ordered by a physician, physician assistant, or nurse practitioner.

Nutrition Services must be provided face to face with the waiver participant except for waiver participant-specific training of caregivers responsible for food purchase, food preparation, or assisting the waiver participant to eat and except for that portion of the assessment involving development of the plan of care.

Nutrition Services shall not be billed when provided during the same time period as Physical Therapy, Occupational Therapy, Speech, Language, and Hearing Services, Orientation and Mobility Services for Impaired Vision, or Behavior Services, unless there is documentation in the waiver participant’s record of medical justification for the two services to be provided concurrently.

The unit of reimbursement for a Nutrition Services assessment with plan development shall be per day. The unit of reimbursement for other Nutrition Services shall be per day.

Reimbursement for a Nutrition Services assessment visit, which includes the Nutritional Services plan development resulting from such an assessment, shall be limited to one assessment visit per waiver participant per waiver program year.  Nutrition Services other than the assessment (e.g., waiver participant-specific training of caregivers; monitoring dietary compliance and food preparation) shall be limited to a maximum of one visit per day. 

Nutrition Services (including Nutrition Services assessments and other non-assessment services) shall be limited to a maximum of six (6) visits per waiver participant per waiver program year, of which no more than one (1) visit per waiver program year may be an assessment.  A Nutrition Services assessment cannot be billed on the same day with other Nutrition Services.  Reimbursement shall not be made for telephone consultations.  A provider shall not receive reimbursement for Nutrition Services unless provided by a licensed dietitian or nutritionist.

Nutrition Services are not intended to replace services available through the Medicaid State Plan/TennCare program.

 

Applicable limits, if any, on the amount, frequency, or duration of this service:
Nutrition Services shall be limited to a maximum of six (6) visits per waiver participant per waiver program year, of which no more than one (1) visit per waiver program year may be a Nutrition Services assessment.  Nutrition Services other than the assessment (e.g., waiver participant-specific training of caregivers; monitoring dietary compliance and food preparation) shall be further limited to a maximum of one visit per day.

 

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