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CDPHP

Updated over 3 weeks ago

Type: Commercial

Program Goal: Healthier at every size, reduce chronic conditions

Target Population: Health plan members

States Served: NY

RD Requirements:

Health Plan Credentialing

State Medicaid Enrollment

Foodsmart Credentialing Requirements

CAQH Application - Profile Updated

Medallion Credentialing Application
Copies of CDR, license in home state and where pt resides, professional liability insurance (1M/3M), CV

Benefits Overview:

Video Required

# of Allowed Visits

# of Allowed Units per Visit

Schedule Cadence

Billing Codes

Foodsmart Program Features

Yes

Clinically appropriate- after 8th visit will go to CDPHP review for medical necessity

Initial: 4 units

Follow Up: 2 units

2nd Visit: 1 week after initial

Other Visits:

Aim for 1x/week

Initial: 97802

Follow Up: 97803

Foodsmart app, Telenutrition

RD Assessments:

Nutriquiz

SNAP Required

Risk Assessment Required

NONE

Eligibility should be checked frequently

No

Food Benefits:

Foodsmart Bucks

Foodboxes/MTM

Food Selection Instructions

Virtual Incentives for visits 2-4 ($15 Walmart gift card sent)

NONE

Please see the following link of Overview of Health Plans for info on all health plans.

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