Medicare MNT

Medical nutrition therapy is covered by Medicare for diagnoses of diabetes, non-dialysis kidney disease, and 36 months post kidney transplant when a Medicare beneficiary has been referred by any physician (MD or DO), and when provided by an RDN who is enrolled as a Medicare Provider. Medicare does not accept referrals for MNT from nurse practitioners (NPs) and physician assistants (PAs). Medicare covers 3 hours of MNT the initial year of referral and up to 2 hours of MNT for subsequent years. Hours are based on calendar year and cannot be carried over from year to year.

Additional coverage is available in the same calendar year with a second referral when more MNT is medically necessary. There could be many reasons why individuals may need more care, including but not limited to a change in diagnosis, medical condition or treatment regimen. Medicare Advantage (Medicare Part C) plans may also offer additional benefits, including coverage beyond these diagnoses covered by traditional Medicare. Registered dietitian nutritionists must become credentialed with each Medicare Advantage plan in order to provide and get paid for MNT to patients enrolled in Medicare Advantage.

  • Medicare Advantage

    Medicare Advantage Plans, sometimes called Medicare Part C, Medicare+Choice Plans or MA Plans, are health coverage plans offered by private insurance companies or managed care organizations that contract with Medicare to provide Medicare Part A and B benefits to Medicare beneficiaries.

  • Local Coverage Determination

    If you are looking for further explanation and details on Medicare MNT that is specific to your geographic location, then check out whether your local CMS contractor (MAC, carrier or fiscal intermediary) has developed a Local Coverage Determination (LCD).

  • Practice Settings - FAQs

    When considering to provide the Medicare MNT benefit in practice settings, it is best to find out first where and how this benefit can be applied. Find out here, along with the answers to the most frequently asked questions concerning the Medicare MNT benefit in relation to the practice setting.

  • Advanced Beneficiary Notices

    Registered dietitian nutritionists who are participating in the Medicare program as providers for MNT for diabetes and non dialysis kidney disease should understand and use appropriate forms, such as the Advanced Beneficiary Notice (ABN), prior to providing MNT services.

  • Complying With Medicare Regulations

    For Medicare Part B beneficiaries with diabetes or kidney disease, RDNs must review how they provide services to these individuals in order to comply with Medicare regulations.