Nutritional Counseling. Individual- ized nutritional evaluation and counseling as for the management of any medical condition for which appropriate diet and eating habits are essential to the overall treatment program when ordered by a physician or physician extender and provided by a licensed health- care professional (e.g., a registered dietitian), up to three (3) sessions annually with a reg- istered dietitian, with physician order. The maximum may be exceeded for an additional three (3) sessions, upon prior authorization by the medical plan, if services beyond the maximum limit are medically necessary. Does not cover individualized nutritional evaluation and counseling for the manage- ment of conditions where appropriate diet and eating habits have not been proven to be essential to the overall treatment program because they are not considered to be medi- cally necessary. Conditions for which nutri- tional evaluation and counseling are not con- sidered to be medically necessary include, but are not limited to, the following: A. Attention-deficit/hyperactivity dis- order (ADHD); B. Chronic fatigue syndrome (CFS); C. Idiopathic environmental intoler- ance (IEI); or D. Asthma;
Appears in 1 contract
Sources: Health Care Plan Rules
Nutritional Counseling. Individual- ized nutritional evaluation and counseling as for the management of any medical condition for which appropriate diet and eating habits are essential to the overall treatment program when ordered by a physician or physician extender and provided by a licensed health- care professional (e.g., a registered dietitian), up to three (3) sessions annually with a reg- istered dietitian, with physician order. The maximum may be exceeded for an additional three (3) sessions, upon prior authorization by the medical plan, if services beyond the maximum limit are medically necessary. Does not cover individualized nutritional evaluation and counseling for the manage- ment of conditions where appropriate diet and eating habits have not been proven to be essential to the overall treatment program because they are not considered to be medi- cally necessary. Conditions for which nutri- tional evaluation and counseling are not con- sidered to be medically necessary include, but are not limited to, the following:
A. Attention-deficit/hyperactivity dis- order (ADHD);
B. Chronic fatigue syndrome (CFS);
C. Idiopathic environmental intoler- ance (IEI); or
D. Asthma▇. ▇▇▇▇▇▇;
Appears in 1 contract
Sources: Health Care Plan Rules