Medical Nutrition Therapy

Referral by Licensed Medical Provider: A medical provider must provider a referral for clients receiving MNT services.

1. Percentage of clients with documentation of the medical provider’s referral to MNT.

Medical Nutrition Therapy Assessment: An LD will conduct an initial MNT assessment. A comprehensive nutritional assessment includes the following components: clinical history, physical examination, anthropometric measurements, diagnostic tests, and functional and dietary assessments.

2. Percentage of clients with documentation of a completed assessment conducted by an LD that includes the following components at a minimum: (Pilot Measure)

   a. Clinical history

   b. Physical examination

   c. Anthropometric measurements

   d. Diagnostic tests as applicable

   e. Functional assessment

   f. Dietary assessment

Nutrition Plan: The LD will develop a nutritional plan that is appropriate for the client’s health status, financial status, and individual preference. 

Staff should complete the plan within 10 business days of the nutrition assessment and the plan must include, but is not limited to:

• Nutritional diagnosis
• Client-centered nutrition education
• Measurable goal(s)
• Date service is to be initiated
• Recommended services and course of medical nutrition therapy to be provided to include the planned number and frequency of sessions
• Types and amounts of nutritional supplements and food provisions (if applicable)
• Signature of LD who developed the plan.

The LD will update the nutrition plan will be updated as necessary, but no less than twice per year, and will share the plan with the client, the client’s primary care provider, and other authorized personnel involved in the client’s care.
 

3. Percentage of clients with a documented nutrition plan that includes the following components: (Pilot Measure)

   a. Nutritional diagnosis

   b. Client-centered nutrition education

   c. Measurable goal(s)

   d. Date service is to be initiated

   e. Recommended services to be provided

   f. Planned number and frequency of sessions

   g. Type, frequency, and amount of food or nutritional supplements to be provided if this service is part of the plan

   h. LD signature

4. Percentage of clients with documentation of a nutrition plan updated at least twice per year if the client has been receiving services for over 12 months.

Provision of Nutritional Supplements and Food Provisions: The agency may provide nutritional supplements and food provisions deemed medically necessary per written orders from a prescribing provider.

5. Percentage of clients that are prescribed nutritional supplements or food provisions that have written orders from the referring prescribing provider.

Discharge: When an agency discharges a client from services, staff must document the date of discharge, reason, and any recommendations in the client’s record and provide this documentation to the prescribing provider and other multidisciplinary team members as applicable.

6. Percentage of clients discharged from services during the measurement period with the following documentation components: (Pilot Measure)

   a. Date of discharge

   b. Reason for discharge

   c. Recommendations for follow-up

   d. Prescribing provider notified of discharge

   e. Other multidisciplinary team members notified of the discharge, as applicable