Obesity affects more than 31.6 percent of South Carolinians. The cost of obesity related to medical treatment is $147-$210 billion dollars. As part of the South Carolina Obesity Action Plan (PDF), our state has outlined targeted objectives in key settings for obesity prevention and promotes statewide changes at the environmental, policy, and systems level. The objectives of the action plan are addressed through the work of the SCale Down Initiative.
The initiative’s goals are to enable health care providers to treat obesity as a disease and bill accordingly. Ultimately, this will help reduce obesity rates in South Carolina and improve health outcomes.
To meet this need, SC Department of Health and Human Services Healthy Connections Medicaid developed a policy that allows registered, licensed dietitians with the RDN, LD credential to be reimbursed for up to six nutrition counseling sessions with patients who carry Medicaid Insurance.
Adult Patients need to be referred to a dietitian from their primary care provider who has ‘enrolled’ them in the policy by seeing them the first time, billing for the ‘Physician code’ (G0447, SC modifier) and Z-code for BMI (BMI>30 kg/m2).
Referring patients (PDF) to the MUSC Ambulatory Dietitian for nutrition counseling is a simple process for MUSC providers and outside providers.
MUSC Providers can place an Ambulatory Referral to Nutrition Services in EPIC with the appropriate diagnosis code.
Providers outside of MUSC should fax the completed Adult Obesity Nutrition Counseling for Medicaid referral form (PDF) to 843-792-2995.
All Medicaid HMOs are eligible for the program – but MUSC does NOT accept the following Medicaid HMOs:
Both internal and external patients are scheduled through the University Internal Medicine Scheduling Department at 843-876-0888.
The physician and dietitian billing codes and reimbursement rates are clearly outlined in the Billing Healthcare Common Procedure Coding System (HCPCS) Service Codes (PDF).