# COMAR 10.09.81.33: COMAR 10.09.81.33. Covered Services — Dietitian and Nutritionist Services

> Maryland · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_81_33

## Section

- **Citation:** COMAR 10.09.81.33
- **Heading:** COMAR 10.09.81.33. 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 81 Increased Community Services (ICS) Program / COMAR 10.09.81.33

## Text

A. Definition. “Unit of service” means an hour of service rendered one-on-one by a qualified provider for a participant in the participant's home or the provider's office.
B. Dietitian and nutritionist services shall include:
(1) The provision of a nutrition care plan as part of the ICS Program multidisciplinary team process;
(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 5, Annotated Code of Maryland ; and
(b) Regulations under COMAR 10.56 for the Board of Dietetic Practice.
C. Dietitian and nutritionist services may not include services rendered on a group basis or in a classroom setting.
D. 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, 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.
Cross References 10.09.81.16

## Nearby sections

- [COMAR 10.09.81.01 COMAR 10.09.81.01. Purpose](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_81_01.md)
- [COMAR 10.09.81.02 COMAR 10.09.81.02. Definitions](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_81_02.md)
- [COMAR 10.09.81.03 COMAR 10.09.81.03. Participant Eligibility](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_81_03.md)
- [COMAR 10.09.81.04 COMAR 10.09.81.04. Conditions for Provider Participation — General Requirements](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_81_04.md)
- [COMAR 10.09.81.05 COMAR 10.09.81.05. Specific Conditions for Provider Participation — Participant Training](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_81_05.md)
- [COMAR 10.09.81.06 COMAR 10.09.81.06. Specific Conditions for Provider Participation — Family Training](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_81_06.md)
- [COMAR 10.09.81.07 COMAR 10.09.81.07. Specific Conditions for Provider Participation — Case Management Services](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_81_07.md)
- [COMAR 10.09.81.08 COMAR 10.09.81.08. Specific Conditions for Provider Participation — Transition Services](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_81_08.md)
- [COMAR 10.09.81.09 COMAR 10.09.81.09. Specific Conditions for Provider Participation — Environmental Assessments](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_81_09.md)
- [COMAR 10.09.81.10 COMAR 10.09.81.10. Specific Conditions for Provider Participation — Environmental Accessibility Adaptations](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_81_10.md)
- [COMAR 10.09.81.11 COMAR 10.09.81.11. Specific Conditions for Provider Participation — Personal Emergency Response Systems](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_81_11.md)
- [COMAR 10.09.81.12 COMAR 10.09.81.12. Specific Conditions for Provider Participation — Assistive Technology](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_81_12.md)
- [COMAR 10.09.81.13 COMAR 10.09.81.13. Specific Conditions for Provider Participation — Attendant Care Services](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_81_13.md)
- [COMAR 10.09.81.14 COMAR 10.09.81.14. Specific Conditions for Provider Participation — Nursing Supervision of Attendants](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_81_14.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_81_33. Check the current official text before relying on it. Not legal advice.