Ohio Admin. Code 173-4-07 - Older Americans Act nutrition program: nutrition counseling
(A) Definitions for this rule:
"Nutrition counseling" ("counseling") has the same meaning as "medical nutrition therapy" in rule 4759-2-01 of the Administrative Code.
"Nutritional assessment" ("assessment") has the same meaning as in rule 4759-2-01 of the Administrative Code.
(B)
Requirements
In
for every
AAA-provider agreement for nutrition counseling paid, in whole or in part, with
Older Americans Act funds, the AAA shall include the
following requirements:
(a)(6)
Nutrition intervention plan: The provider shall
develop
perform all
of the following activities concerning a nutrition intervention plan
based upon the initial assessment and, if the
provider conducts subsequent assessments, the subsequent assessments. The plan
shall include all the following:
(b)(c)
Forward,
No
no more than seven days after the provider sends
the assessment to the licensed healthcare professional who ordered the
counseling, the provider shall forward the
nutrition intervention plan to the same
professional and, if the consumer is in a care-coordination program, to the
consumer's case manager.
(c)(d)
The provider shall provide
Provide reports on the intervention plan's implementation and the
consumer's outcomes to the licensed healthcare professional who ordered the
counseling and, if the consumer is in a carecoordination program, to the
consumer's case manager.
(1)
General requirements: In the
The AAA-provider agreement, the AAA shall include
is
subject to the requirements in rule
173-3-06 of the Administrative
Code for every AAA-provider agreement paid, in whole
or in part, with Older Americans Act funds.
(2) Dietitian: Only a licensed dietitian
("dietitian") working for an agency provider, or a licensed dietitian working
as a self-employed provider shall
may provide counseling to consumers.
(3) Orders and limits:
(a)
Before the
provider counsels a consumer, the
The
provider may provide counseling to a consumer only if
the provider obtains an order for the consumer's counseling from a
licensed healthcare professional whose scope of practice includes ordering
counseling before providing the
counseling .
(b) The provider
shall not
may
only provide counseling in excess of
up to the amount the licensed healthcare
professional ordered.
(c) The
provider shall not
may provide counseling to a consumer's caregiver
unless
only
if the licensed healthcare professional also ordered counseling for the
consumer's caregiver to improve the caregiver's care to the consumer.
(4) Venue: The provider may
conduct sessions by telephone, video conference, or in person in the consumer's
home.
(5) Nutritional assessment
("assessment"):
(a) The provider shall conduct an assessment
of the consumer's nutritional intake, anthropometic measurements, biochemical
values, physical and metabolic parameters, socio-economic factors, current
medical diagnosis and medications, pathophysiological processes, and access to
food and food-assistance programs.
(b) No later than seven days after the
initial assessment, the dietitian forwards the results of the initial
assessment to the licensed healthcare professional who ordered the counseling
and, if the consumer is in a care-coordination program, to the consumer's case
manager.
(6) Nutrition intervention
plan:
(a)
Base the plan on the initial assessment and subsequent
assessments (if conducted).
(b)
Include all of
the following in the plan:
(i) Clinical
and behavioral goals and a care plan.
(ii) Intervention planning, including
nutrients required, feeding modality, and method of nutrition education and
counseling, with expected measurable outcomes.
(iii) Consideration for input from the
consumer, licensed healthcare professional who ordered the counseling, case
manager (if any), consumer's caregiver (if any), and relevant service provider
(if any).
(iv) The scheduling of
any follow-up counseling sessions.
(7) Service verification:
(ii)(a) The
provider may use a manual system if the provider
documents the date of service, time of day that each consultation begins and
ends, name of the licensed dietitian providing the consultation, and collects
the signature of the licensed dietitian providing the consultation and a unique
identifier of the consumer.
following are the
mandatory reporting items for each counseling/assessment session that a
provider retains to comply with the requirements under paragraph (B)(9) of rule
173-3-06 of the Administrative
Code:
(a) By one of the following two
methods, the provider shall verify that each consultation for which it bills
was provided:
(i) The provider may use an
electronic system if the system does all of the following:
(a)
Collects the consumer's name, date of consultation, time of
day each consultation begins and ends, name of licensed dietitian providing
consultation, and a unique identifier of the consumer.
(b)
Retains the information it collects.
(c)
Produces reports, upon request, that the AAA can monitor
for compliance.
(i)
Date
of session.
(ii)
Time of day when the session begins and
ends.
(iii)
Name of the dietitian providing the
session.
(iv)
Unique identifier of the dietitian to attest to
providing the session.
(v)
Unique identifier of the consumer or the consumer's
caregiver to attest to receiving the session.
(b) During a state of emergency declared by
the governor or a federal public health emergency, the provider may verify each
episode of service provided without collecting a unique identifier of the
consumer or the consumer's caregiver .
(C) Units:
(1) A unit of nutrition counseling is fifteen
minutes of counseling.
(2) A unit
of nutrition assessment is one nutrition assessment session per
consumer.
Notes
Promulgated Under: 119.03
Statutory Authority: 121.07, 173.01, 173.02, 173.392; 42 U.S.C. 3025; 45 C.F.R. 1321.11, 1321.17
Rule Amplifies: 173.39, 173.392; 42 U.S.C. 3025, 3030e, 3030f, 3030g-21; 45 C.F.R. 1321.11, 1321.17
Prior Effective Dates: 03/05/2009, 09/01/2016, 06/11/2020 (Emer.), 12/31/2020, 01/29/2022
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