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TRICARE Policy Manual 6010.60-M, April 1, 2015
Chapter 11
Section 3.15
Issue Date:  May 25, 2011
Authority:  32 CFR 199.4(d)(3)(ix), (g)(39), 32 CFR 199.6(c)(3)(iii)(L), and National Defense Authorization Act (NDAA) for Fiscal Year (FY) 2017, Section 714
Revision:  C-8, August 28, 2017
1.0  ISSUE
2.1  A nutritionist must be licensed by the state in which the care is provided and must be under the supervision of a physician who is overseeing the episode of treatment or the covered program of services.
2.2  Effective May 25, 2011, a nutritionist may provide Diabetes Self-Management Training (DSMT) via an accredited DSMT program when the nutritionist:
2.2.1  Has received at least a bachelor’s degree from an accredited U.S. college or university;
2.2.2  Is licensed by the State in which the care is provided; and
2.2.3  Is under the supervision of a physician who is overseeing the DSMT program.
2.3  Effective December 23, 2017, a nutritionist may provide medical nutritional therapy (also referred to as medical nutritional counseling) required in the administration of the medically necessary foods, services and supplies, and medically necessary vitamins authorized in Chapter 8, Section 7.2, or when medically necessary for other authorized covered services.
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