Residential facilities for groups cannot accept diagnosed persons without proper licensing Any residential facility for groups (RFG), which includes assisted living facilities, that offers or provides care for a resident with Alzheimer’s disease or related dementia must obtain an endorsement from the Division of Public and Behavioral Health (DPBH) authorizing it to provide care to persons with Alzheimer’s disease. Nevada Administrative Code 449.173 defines “Residential facility which provides care to persons with Alzheimer’s disease” as a residential facility that provides care and protective supervision for persons with Alzheimer’s disease or a related disease, including, without limitation, senile dementia, organic brain syndrome or other cognitive impairment. The Bureau of Health Care Quality and Compliance (HCQC) has issued a technical bulletin with more details about this requirement. The technical bulletin can be downloaded below, and for more information send an email to [email protected].
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In 2018, state began allowing reimbursement for nutrition management related to chronic disease Nevada now allows licensed dietitians to become Medicaid providers and bill for Medical Nutrition Therapy (MNT) services for management of nutrition related to chronic diseases. Since the change took effect on Jan. 1, Medicaid officials have been working to cycle reimbursement requests and payment for services rendered this year should start being disbursed in the coming week.
MNT services are covered for recipients diagnosed with diabetes, obesity, heart disease and hypertension. Services must be rendered according to the written orders of the physician, physician’s assistant (PA) or advance practice registered nurse (APRN) as part of an individualized treatment plan. The service limitation is a combination of four hours for any of the Current Procedural Terminology (CPT) codes listed under Billing Information below for the first rolling year and two hours in subsequent rolling years per recipient. A prior authorization may be obtained should a recipient require additional or repeat training sessions. This would include the change of a diagnosis, medical condition or treatment regimen. Registered dietitian services are limited to the following CPT codes:
So far, 53 Nevada dietitians have registered as Medicaid providers and submitted claims for reimbursement. Dietitians who are waiting for Medicaid reimbursement for services rendered in 2018 can expect payment within the coming week. If your reimbursement amount does not align with your bookkeeping, contact Heather Hatch by email so she can assist in ensuring all claims were captured in the recycle. Nevada Medicaid officials thank dietitians who have been awaiting this reimbursement for their continued support of Nevadans. |
AuthorThe Bureau of Health Care Quality and Compliance (HCQC) licenses medical and other health facilities, child care facilities and personnel, and medical laboratories and personnel in Nevada. HCQC also conducts compliance surveys and takes complaints. Archives
October 2023
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