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Page 1: Nutrition. Triggers for Nutritional Services Referral  Growth and Weight Management  Health Conditions  Needs for Specialized Supports  Economic Problems

Nutrition

Page 2: Nutrition. Triggers for Nutritional Services Referral  Growth and Weight Management  Health Conditions  Needs for Specialized Supports  Economic Problems

Triggers for NutritionalServices Referral

Growth and Weight Management

Health Conditions

Needs for

Specialized Supports

Economic Problems

Behavior Problems

Page 3: Nutrition. Triggers for Nutritional Services Referral  Growth and Weight Management  Health Conditions  Needs for Specialized Supports  Economic 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

Page 4: Nutrition. Triggers for Nutritional Services Referral  Growth and Weight Management  Health Conditions  Needs for Specialized Supports  Economic Problems

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

Page 5: Nutrition. Triggers for Nutritional Services Referral  Growth and Weight Management  Health Conditions  Needs for Specialized Supports  Economic Problems

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)

Page 6: Nutrition. Triggers for Nutritional Services Referral  Growth and Weight Management  Health Conditions  Needs for Specialized Supports  Economic Problems

Who Is Involved in the Development of Nutrition

Plan?

Nutritionist Client Services Coordinator Other team members (family members or

friends) Client’s Physician

Page 7: Nutrition. Triggers for Nutritional Services Referral  Growth and Weight Management  Health Conditions  Needs for Specialized Supports  Economic Problems

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

Page 8: Nutrition. Triggers for Nutritional Services Referral  Growth and Weight Management  Health Conditions  Needs for Specialized Supports  Economic Problems

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

Page 9: Nutrition. Triggers for Nutritional Services Referral  Growth and Weight Management  Health Conditions  Needs for Specialized Supports  Economic Problems

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

Page 10: Nutrition. Triggers for Nutritional Services Referral  Growth and Weight Management  Health Conditions  Needs for Specialized Supports  Economic Problems

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

Page 11: Nutrition. Triggers for Nutritional Services Referral  Growth and Weight Management  Health Conditions  Needs for Specialized Supports  Economic Problems

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

Page 12: Nutrition. Triggers for Nutritional Services Referral  Growth and Weight Management  Health Conditions  Needs for Specialized Supports  Economic Problems

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

Page 13: Nutrition. Triggers for Nutritional Services Referral  Growth and Weight Management  Health Conditions  Needs for Specialized Supports  Economic Problems

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


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