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

Current through all regulations passed and filed through July 1, 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.