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Changes to nutrition counseling coverage for HMO members
November 1, 2019

This article is for:

  • Primary care providers who refer patients for nutrition counseling
  • Licensed dietician nutritionists

November 6, 2019 update:
We've updated this news article to clarify our referral requirements. Please see below for referral information.

We’re pleased to announce that we’re simplifying our coverage for nutrition counseling starting on January 1, 2020. We will no longer require an authorization for these services; however, services should still be medically necessary.

Note: Because of this change, we’ll remove the Medical Nutrition Therapy Authorization Extension form from Provider Central as of January 1, 2020.

Which members does this change apply to?

  • Commercial HMO members

Is a referral for nutrition counseling still required?

  • A PCP referral does not need to be entered; however, members should use an in-network provider for this service (for example, a licensed dietician nutritionist).

Questions?

For questions about this change, please contact your network representative at 1-800-316-BLUE (2583).

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