12 CCR 2510-1-10.412.74 - Nutrition Services (Home Delivered) Provider Responsibilities and Requirements (Modified and Therapeutic Diets) [Rev. eff. 2/1/16]

A. Modified diets, therapeutic diets, or special menus shall be provided, where feasible, to meet the particular dietary needs arising from health or religious requirements, or ethnic backgrounds of eligible older adults. The nutrition provider and a registered dietician shall determine feasibility and appropriateness of modified diets, therapeutic diets, or special menus. Registered dieticians shall be responsible for obtaining written orders for therapeutic diets from each participant's physician maintaining such orders on file and updating them with the physician every six months.

B. The AAAs shall comply with nutrition services as prescribed by the SUA.

C. The AAAs shall provide modified and therapeutic diets, where feasible. Therapeutic diets shall include:

1. Medical nutritional food as a supplement:

a. Nutrition supplement prescribed by a physician and monitored by a registered dietician to determine if the prescription is feasible and appropriate.

b. Medical nutritional food as a supplement shall not be eligible for reimbursement under Nutrition Service Incentive Program (NSIP), Title III, as defined at Section 10.120 "Definitions", C1 or C2.

2. Medical nutritional food as a meal replacement shall be:

a. Prescribed by a physician as necessary to treat a diagnosed medical condition and meet primary nutritional needs. A registered dietician shall monitor the nutrient content, feasibility and appropriateness, and referrals to insurance coverage and other resources; and,

b. Eligible for reimbursement under NSIP if the meal replacement meets the thirty-three and one-third percent (33-1/3%) Dietary Reference Intakes (DRI) nutrient requirements by volume.

3. Therapeutic diets shall be:

a. Prescribed by a physician;

b. Monitored by a registered dietician; and,

c. Determined if feasible and appropriate by the registered dietician and nutrition provider.

D. In addition to following the regulatory compliance, home delivered meal providers shall:

1. Establish a nutritional screening procedure for determining individual needs and resources;

2. Verify all consumers in the home delivered meal program meet the homebound or geographically isolated eligibility requirements as specified at Section 10.412.1;

3. Maintain documentation of the consumer's nutritional screen and ensure that data is recorded utilizing the State mandated data and reporting system(s); and,

4. Document homebound status at the nutrition project level. Homebound status shall be reassessed as prescribed by the State Unit on Aging in policies and procedures.

Notes

12 CCR 2510-1-10.412.74

39 CR 01, January 10, 2016, effective 2/1/2016