Rule 5160-8-41. Services provided by a dietitian

119.03 (A) Providers. (1) Rendering providers. The following practitioners, defined in Chapter 4759. of the Revised Code, may enroll in medicaid as eligible providers of dietitian services: (a) A licensed dietitian; and (b) A registered dietitian. (2) Billing ("pay-to") providers. The following eligible providers may receive medicaid payment for submitting a claim for a covered service on behalf of a rendering provider: (a) An independent licensed dietitian; (b) An independent registered dietitian; (c) A professional medical group; (d) An ambulatory health care clinic; or (e) A federally qualified health center (FQHC) or rural health clinic (RHC). (B) Coverage. Payment may be made for the following services provided by a dietitian: (1) Medical nutrition therapy services specified in "Current Procedural Terminology," published by the American medical association (AMA), http://www.ama-assn.org; (2) Lactation consultation services; and (3) Diabetes self-management training (DSMT) services, in accordance with rule 5160-8-53 of the Administrative Code. (C) Claim payment. (1) Payment for a covered service provided by a dietitian in an FQHC site or RHC site is determined in accordance with Chapter 5160-28 of the Administrative Code. (2) Payment for a covered service provided by a dietitian in a setting other than an FQHC site or RHC site is the lesser of the submitted charge or the amount shown in appendix DD to rule 5160-1-60 of the Administrative Code. Last updated October 1, 2024 at 9:23 AM Supplemental Information Authorized By: 5164.02 Amplifies: 5164.02 10/1/2029 5/8/2016, 7/1/2021