US · guidance
CMS SOM App. M, Tag L597
§418.64(d)(2) Dietary counseling
Dietary counseling, when identified in the plan of care, must be performed by a
qualified individual, which include dietitians as well as nurses and other individuals
who are able to address and assure that the dietary needs of the patient are met.
Interpretive Guidelines §418.64(d)(2)
Hospices are required to assure the dietary needs of the patient are met by a qualified
individual. If an RN is capable of meeting the patient’s needs, then the dietary
counseling can be provided by the RN. If the needs of the patient exceed the expertise of
the nurse, then the hospice must have available an appropriately trained and qualified
individual such as a registered dietitian or nutritionist to meet the patient’s dietary needs.
History
Rev. 210; Issued:02-03-23; Effective:02-03-23; Implementation:02-03-23
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
9e98e12a703aeb8e4459a989c0c1bc41c609c2230ab41ae1bdc2aff9b1576cca
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