12 Colo. Code Regs. § 2510-1-10.411.74
Current through Register Vol. 47, No. 22, November 25, 2024
Section 12 CCR 2510-1-10.411.74 - Nutrition Services (Congregate) Modified and Therapeutic Diets [Rev. eff. 2/1/16]Modified diets, therapeutic diets, or special menus shall be provided, where feasible, to meet the particular dietary needs arising from health or religious requirements, or ethnic backgrounds of eligible older adults. The nutrition provider and a registered dietician shall determine feasibility and appropriateness of modified diets, therapeutic diets, or special menus. Registered dieticians shall be responsible for obtaining written orders for therapeutic diets from each participant's physician, maintaining such orders on file and updating them with the physician every six months.
The AAAs shall comply with nutrition services as prescribed by the SUA.
A. Modified and Therapeutic Diets The AAAs shall provide modified and therapeutic diets, where feasible, in accordance with Section 339 of the Older Americans Act. Therapeutic diets shall include: 1. Medical nutritional food as a supplement: a. Nutrition supplement prescribed by a physician and monitored by a registered dietitian to determine if the prescription is feasible and appropriate.b. Medical nutritional food as a supplement shall not be eligible for reimbursement under Nutrition Service Incentive Program (NSIP), Title III, as defined at Section 10.120 "Definitions", C-1, or C-2.2. Medical nutritional food as a meal replacement:a. Prescribed by a physician as necessary to treat a diagnosed medical condition and meet primary nutritional needs. A registered dietitian shall monitor the nutrient content, feasibility and appropriateness, and referrals to insurance coverage and other resources.b. Medical nutritional food as a meal replacement shall be eligible for reimbursement under NSIP if the meal replacement meets the thirty-three and one-third percent (33-1/3%) Dietary Reference Intakes (DRI) nutrient requirements by volume.3. Therapeutic diets shall be: a. Prescribed by a physician;b. Monitored by a registered dietitian; and,c. Determined if feasible and appropriate by the registered dietitian and nutrition provider.39 CR 01, January 10, 2016, effective 2/1/2016