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Nutrition
Triggers for NutritionalServices Referral
Growth and Weight Management
Health Conditions
Needs for
Specialized Supports
Economic Problems
Behavior Problems
Role of the Services Coordinators
Regarding Nutrition Services
Determine Waiver eligibility Assess/identify nutritional needs Discuss needs and explain benefits to client/family Authorize services Develop Nutrition Plan with client Contact Resource Developer
for names of nutritionistsin community
Determine who will contact Nutritionist
First visit: Assessment & Development of Nutrition Plan
Up to 5 additional visits within 3 month period as indicated in Plan
At end of authorization period can authorize 3 additional months if needed
Authorization of Services by Services Coordinator
Assess Client’s Nutritional Status
Develop Nutrition Plan with Client
Counsels, Intervenes, Follow Up Provides Documentation to
Client and Services Coordinator
Role of Licensed Medical Nutrition Therapist (LMNT) or Certified Diabetes Educator
(CDE)
Who Is Involved in the Development of Nutrition
Plan?
Nutritionist Client Services Coordinator Other team members (family members or
friends) Client’s Physician
Nutrition Plan Includes:
Physician Identified Areas of Need Client’s Strengths, Needs and
Desired Outcomes Specific Activities Who Does What Specific Nutrition Outcomes Number of Visits per Month Areas of Teaching
Who Receives Copy of Nutrition Service Plan
Client’s physician if physician-identified needs Client Services Coordinator
At beginning when the Nutrition Plan is initiated On-going communication At end of three month authorization period
Services Coordinator receives progress outcomes summary after initial 3 months
Services Coordinator may authorize an additional 5 visits over next 3 months
Monitoring the Nutrition Plan
Services must be terminated when: Outcomes of Nutrition Plan have
been met Client is clearly not
benefiting fromNutrition Services
Client requeststermination of the service
Termination of Nutrition Services
Current Nutrition Service
Rates are set by Central Office Be sure to check with
supervisor for currentrate amount
Rates may change annually
Nutrition Services Rates
The Nutrition Service Provider mustmaintain a file that contains:
Nutrition Plan and allrecommended changes
Progress reports Name of the client’s physician All pertinent medical information
Record Keeping
Maintains an active list of Nutrition Service Providers
Provides a current list of the Nutrition Service Providers to client
Recruits new Nutrition Service Providers
Role of Resource Development