Medical Nutrition Therapy
HRSA Service Definition
Medical Nutrition Therapy includes:
- Nutrition assessment and screening
- Dietary/nutritional evaluation
- Food and/or nutritional supplements per medical provider’s recommendation
- Nutrition education and/or counseling
These services can be provided in individual and/or group settings and outside of HIV Outpatient/Ambulatory Health Services.
Program Guidance:
All services performed under this service category must be pursuant to a medical provider’s referral and based on a nutritional plan developed by the registered dietitian or other licensed nutrition professional. Services not provided by a registered/licensed dietician should be considered Psychosocial Support Services under the RWHAP.
See also:
Number of Clients Served, Units Provided, Expenditures, Allocation, and Over/Under-spending
Year | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 |
---|---|---|---|---|---|---|---|
Medical Nutrition Clients | 328 | 382 | 416 | 347 | 362 | 367 | 368 |
Medical Nutrition Units | 611 | 733 | 868 | 683 | 687 | 957 | 2,415 |
Medical Nutrition Dollars | $54,160 | $58,806 | $59,609 | $59,612 | $56,913 | $59,588 | $66,027 |
Allocated Dollars | $59,946 | $60,531 | $59,611 | $59,612 | $59,612 | $59,588 | $66,027 |
Over/ Underspending | $4,786 under | $1,725 under | $2 under | $0 | $2,699 | $0 | $0 |
Funding by Part, and info on any other payers
Total Part A Funds (Formula + Supp.) | MAI | Total Part B Funds (Formula + Supp. NJ) | Total Part B Funds (Formula + Supp. PA) | Total Part C EIS Funds (State & Local) | Total Part D Funds (State & Local) | Total Part F Funds | |
---|---|---|---|---|---|---|---|
Last Year Allocation | $66,027 | ||||||
Current Allocation | $75,718 |
Consumer survey info 2017 n=392
n | Used in the last 12 months | Needed but did not get (last 12 months) | |
---|---|---|---|
Medical Nutrition Therapy | 157 | 75.2% | 24.8% |
Community Survey 2022 Service Responses n=236
I never personally needed this service | I needed this service and received it | I needed but did not get this service | I never heard of this service | |
Medical Nutrition Therapy | 29.66% | 30.51% | 6.78% | 4.66% |
Unmet need
For the purposes of this document, need is based on the response of a consumer when asked if there was a service they needed. MMP interviews patients in care and asks consumers if they need a service and if they receive it. Client services unit data identifies needs at the time of initial intake.
2015-18 MMP Percent with a Need | 2021 Client Services Unit Need at Intake | |
---|---|---|
Medical Nutrition Therapy | - | 2.7% |
Recipient Service Considerations
Medical Nutrition Therapy
1 (0.3%) more client received Nutrition Therapy between FY21 and FY22, whereas service units increased by 1,458 (152.4%). Expenditures increased accordingly, with an increase of 12.7%.
The cost per unit of service declined from $61.22 to $27.34 (-55.3%).
In-person medical nutrition services has increased. Moreover, the unit definition changed from 1-hour sessions to 15-minute increments.