For Medicare home nutrition education services, which statement best describes the role of referrals?

• A. They must come from a physician or other healthcare provider
• B. They are required to come from a social worker
• C. They must be over 65
• D. They must have diabetes

Answer: (A)

The essential idea is that Medicare home nutrition education services require an order from a physician or another qualified health professional to begin. This referral links the education to the patient’s medical plan and establishes medical necessity, which is what allows Medicare to cover the service. It ensures the education is delivered under appropriate supervision and as part of the broader care plan, typically within home health or medical nutrition therapy programs. The referral is not limited to social workers, nor is it restricted by age or a diabetes diagnosis—the key factor is that a licensed clinician formally orders the service so it can be reimbursed and properly coordinated with the patient’s care.