Ohio Administrative Code
Title 173 - Department of Aging
Chapter 173-4 - Older Americans Act Nutrition Program
Section 173-4-07 - Older Americans Act nutrition program: nutrition counseling
Universal Citation: OH Admin Code 173-4-07
Current through all regulations passed and filed through September 16, 2024
(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 for every AAA-provider agreement for nutrition counseling paid, in whole or in part, with Older Americans Act funds:
(1)
The AAA-provider agreement
is
subject to the rule
173-3-06 of the Administrative
Code .
(2) Dietitian: Only a licensed dietitian
("dietitian") working for an agency provider, or a licensed dietitian working
as a self-employed provider
may provide counseling to consumers.
(3) Orders and limits:
(a)
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
may
only provide counseling
up to the amount the licensed healthcare
professional ordered.
(c) The
provider
may provide counseling to a consumer's caregiver
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
:
(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: The provider shall
perform all
of the following activities concerning a 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.
(c)
Forward,
no more than seven days after the provider sends
the assessment to the licensed healthcare professional who ordered the
counseling, the
plan to the same
professional and, if the consumer is in a care-coordination program, to the
consumer's case manager.
(d)
Provide reports on the 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.
(7) Service verification:
(a) The
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:
(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.
Disclaimer: These regulations may not be the most recent version. Ohio may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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