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Nutrition Services Payment & Reimbursement for MNT

Nutrition Services Payment & Reimbursement

Updated October 16, 2022

Reimbursement

The Academy of Nutrition and Dietetics has a nutrition services coverage and payment team whose work is to assist state affiliate Nutrition Services Payment Specialists (NSPS) in their role to help members navigate the complicated arena of MNT reimbursement.

Reimbursement

• Impacted at the federal level by CMS reimbursement and payment rate cuts/increases, generally negotiated annually.
• Impacted at the federal level by insurance carriers operating in several states or nationwide (e.g., Aetna, Cigna, UnitedHealth Group).
• Impacted at the state level by Medicaid, in Massachusetts known as MassHealth.
• Impacted at the state level by insurance carriers operating in the state (e.g., BCBS of MA, Harvard Pilgrim Health Care, Tufts Health Plan).
• Impacted by federal and state payment policies from CMS, Medicaid and insurance carriers for private practice dietitians, who must negotiate their rates and/or work with out-of-pocket payors.

To view the Academy’s nutrition services payment and MNT reimbursement information, visit: www.eatright.org/payment 

Learning more

Getting started:

• https://www.eatrightpro.org/payment/getting-started/health-insurance-and-other-sources-of-funding
• https://www.eatrightpro.org/payment/getting-started/becoming-a-provider

Coding and billing:

• https://www.eatrightpro.org/payment/coding-and-billing/billing-resources

Medicare & MassHealth:

• https://www.eatrightpro.org/payment/medicare/medicare-provider-enrollment

• https://www.mass.gov/masshealth-billing-and-claims

MNT Provider:

• https://www.eatrightpro.org/news-center/in-practice/mnt-provider

Telehealth:

• https://www.eatrightma.org/page/telehealth-and-reimbursement-for-mnt
• https://www.eatrightpro.org/practice/practice-resources/telehhttps://www.eatrightpro.org/news-center/in-practice/mnt-providerealth 

Reimbursement FAQs

Q. Since there is so much changing with reimbursement, especially with telehealth coverage, how can I find the most up to date information?

A: Given the ongoing changes with legislation and reimbursement coverage, the Academy resources are updated to reflect the most recent information. Also, the publication MNT Provider provides an excellent overview of current payment issues: https://www.eatrightpro.org/news-center/in-practice/mnt-provider

Q. Does the Academy have an online reimbursement discussion forum?

A. Academy members can join the Reimbursement and Payment Online Discussion Community to dialogue with other members and learn from colleagues. In addition, the Academy will provide additional as updates as information becomes available.

Contact MAND’s Nutrition Services Payment Specialist, Ellen Lowre, at elowre@yahoo.com.