Medicare reimbursement for home and community-based professional nutrition educational services provided by a registered dietitian is restricted to patients who

• A. Live alone
• B. Have cancer
• C. Are over the age of 65
• D. Have diabetes or renal disease

Answer: (D)

Medicare's medical nutrition therapy (MNT) services provided by a registered dietitian in home or community settings are covered under Part B specifically for individuals with diabetes or kidney (renal) disease. This coverage exists because the nutrition counseling is considered medically necessary to manage those conditions and prevent complications, and it requires a physician referral with an established plan of care. Therefore, reimbursement is restricted to patients who have diabetes or renal disease. It isn’t based on living situation, cancer status, or age alone, though those factors may involve other types of services not categorized as MNT.