Hello Idaho RDNs,
We have been asked to respond to the following request from the Academy of Nutrition and Dietetics concerning reimbursement for RDNs under Medicaid in Idaho.
Background information from the Academy:
It has recently come to the Academy’s attention that a provision of the 21st Century Cures Act (Section 5005) goes into effect January 1, 2018 and
may have an impact on registered dietitian nutritionists who are providers under state Medicaid managed care plans.
This provision requires all providers to be enrolled in standard Medicaid in order to be a provider under these managed care plans.
We are working on potential solutions for use at the affiliate level to try to proactively circumvent any unintended negative
consequences on RDNs currently participating in Medicaid managed care plans.
What the Academy is requesting:
We need your help to identify the potential impact on members in your state.
What do we need you to do? By Monday, October 16 please provide the following
information to us (to the best of your ability):
1.Have members in your affiliate received letters from any Medicaid managed care plans in your state notifying them of potential disenrollment from
the provider network? If so, please share with us a copy of the letter(s).
2.Are RDNs in your state eligible to enroll as providers in your state’s traditional Medicaid plan?
If so, are there any limitations (e.g., limited to RDNs working in hospitals or health departments)?
3.Are RDNs in your state eligible to enroll as providers in your state’s Medicaid managed care plans?
How you can help:
If you receive reimbursement from Medicaid or are part of a Medicaid Managed Care Plan, please send information to our
State Reimbursement Representative, Deena LaJoie, MS, RDN, LD.
Deena’s email is firstname.lastname@example.org
The Academy is requesting this information by Monday, October 16, 2017.
Deena adds that this is a good time to also address the lack of coverage of RDN services by Idaho Medicaid.