# COMAR 10.09.54.17: COMAR 10.09.54.17. Covered Services — Dietitian and Nutritionist Services

> Maryland · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_54_17

## Section

- **Citation:** COMAR 10.09.54.17
- **Heading:** COMAR 10.09.54.17. Covered Services — Dietitian and Nutritionist Services
- **Jurisdiction:** Maryland
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Code of Maryland Regulations / Title 10 MARYLAND DEPARTMENT OF HEALTH / Subtitle 09 MEDICAL CARE PROGRAMS / Chapter 54 Home and Community-Based Options Waiver / COMAR 10.09.54.17

## Text

A. Dietitian and nutritionist services shall include:
(1) The provision of nutrition care plan outcomes and approaches;
(2) Nutrition care planning, nutrition assessment, and dietetic instruction; and
(3) Services within the scope of practice of the nutritionist's or dietitian's license, as defined by:
(a) Health Occupations Article, Title V, Annotated Code of Maryland; and
(b) Regulations under COMAR 10.56 for the Board of Dietetic Practice.
B. Dietitian and nutritionist services may not include services rendered:
(1) On a group basis or in a classroom setting; or
(2) To participants residing in a licensed assisted living facility.
C. The services shall be:
(1) Covered if the participant's medical condition requires the judgment, knowledge, and skills of a licensed nutritionist or licensed dietitian;
(2) Targeted to the individualized needs of the participant, rather than being of general interest;
(3) Sensitive to the educational background, culture, religion, eating habits and preferences, and general environment of the participant; and
(4) Specified in the participant's plan of service as necessary to:
(a) Ensure the participant's health and safety; and
(b) Prevent the participant's institutionalization or hospitalization.
D. The initial assessment and counseling following a rehabilitative or hospital stay shall be performed in person.
E. If family members are unable to participate fully in the service when delivered via telehealth, the provider shall perform the service in person.
F. Except as provided in §§D and E of this regulation, dietitian and nutrition services may be rendered via telehealth.

## Nearby sections

- [COMAR 10.09.54.01 COMAR 10.09.54.01. Definitions](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_54_01.md)
- [COMAR 10.09.54.02 COMAR 10.09.54.02. Licensing and Certification Requirements](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_54_02.md)
- [COMAR 10.09.54.03 COMAR 10.09.54.03. Participant Eligibility](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_54_03.md)
- [COMAR 10.09.54.04 COMAR 10.09.54.04. Conditions for Provider Participation — General Requirements](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_54_04.md)
- [COMAR 10.09.54.05 COMAR 10.09.54.05. Specific Conditions for Provider Participation — Assisted Living](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_54_05.md)
- [COMAR 10.09.54.06 COMAR 10.09.54.06. Specific Conditions for Provider Participation — Behavior Consultation](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_54_06.md)
- [COMAR 10.09.54.07 COMAR 10.09.54.07. Specific Conditions for Provider Participation — Senior Center Plus](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_54_07.md)
- [COMAR 10.09.54.08 COMAR 10.09.54.08. Specific Conditions for Provider Participation — Family Training](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_54_08.md)
- [COMAR 10.09.54.09 COMAR 10.09.54.09. Specific Conditions for Provider Participation — Dietitian and Nutritionist Services](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_54_09.md)
- [COMAR 10.09.54.10 COMAR 10.09.54.10. Specific Conditions for Provider Participation — Medical Day Care Services](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_54_10.md)
- [COMAR 10.09.54.10-1 COMAR 10.09.54.10-1. Specific Conditions for Participation — Respite Care](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_54_10_1.md)
- [COMAR 10.09.54.11 COMAR 10.09.54.11. Specific Conditions for Provider Participation — Case Management Services](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_54_11.md)
- [COMAR 10.09.54.12 COMAR 10.09.54.12. Covered Services — General](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_54_12.md)
- [COMAR 10.09.54.13 COMAR 10.09.54.13. Covered Services — Assisted Living Services](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_54_13.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_54_17. Check the current official text before relying on it. Not legal advice.