Food insecurity may be identified during the first or second visit by reviewing the NutriQuiz (or in some plans - additional risk assessment questions might be asked of the patient)
Use SNAP Interventions
Document SNAP visits by selecting the SNAP Interventions in Foodsmart For Dietitians chart.
Reviewed barriers to health goals and created a SNAP Reenrollment plan
Enrolled member in SNAP
Please include answers within patient’s chart for the following:
1. In the last 12 months, were you worried that money would run out before getting more food?
2. In the last 12 months, did you feel that healthy food was too expensive to buy?
3. [conditional] Do you have an EBT card? Electronic Benefits Transfer (EBT) is an electronic system that allows a Supplemental Nutrition Assistance Program (SNAP) participant to pay for food using SNAP benefits.
4. Are you interested in having Foodsmart help you with SNAP/EBT benefits? Unsure about eligibility? Use the SNAP screening tool
Yes, I’m interested and would like help applying for SNAP or EBT benefits.
No, I have my EBT card.
No, I have already applied for SNAP or EBT benefits and it is pending.
No I applied and benefits were denied.
No, I’m not interested.
Patient is eligible and interested:
If the patient answers no to having an EBT card and are interested in applying for SNAP
Patient may be eligible for SNAP benefits - continue to SNAP screening tool
scheduling a SNAP appointment
Schedule a video Follow up appointment. Write SNAP appointment date in Sticky note.
Patient is already enrolled in benefits:
If the patient answers yes to having an EBT card
Provide community resources and schedule a regular TeleNutrition follow up appointment
Requirements for a SNAP appointment for eligible patients -
Appointments are 1 hour
Video format is recommended (but not required)
Patient documents checklist must be complete (see below)
Set proper expectations with your patient before the SNAP appointment is scheduled
We will check eligibility of SNAP benefits during the appointment
The patient MUST have necessary documents ready at the time of the SNAP appointment
It is recommended that the SNAP appointment be conducted virtually so RD can share their screen as they complete the application with the patient
Audio only SNAP appointments are acceptable (same process without screen share)
Patient Document Checklist:
Identification
Social Security Numbers for primary applicant*
*some states require you to enter the SSN for all members in the household or proof that all members have applied for SSN
If not US citizen, provide document verification of legal immigration status
Information about earned income
Information about other/unearned income
Information about assets/resources
Housing expenses
Utility expenses
Dependent care costs
Medical costs for those who are 60+ or disabled
Child support payments
Potential/Less Common Documents Include:
Vehicle information which may include:
Make/model/year
Ownership type (lean, own, rental, etc.)
Payment structure (monthly, yearly, etc.)
Insurance information and payment
State-specific vehicle payments (ie. inspection, yearly vehicle tax, etc.)
After the SNAP Enrollment appointment complete the billing tab
Billing:
ALL SNAP enrollment visits are considered follow ups
Diagnosis code is Z713 as usual
Billing code remains the same as a regular follow up visit
Bill units based on 8 minute rule
Please take the time to fill out the application entirety, even if it exceeds 60 minutes (if RD schedule allows).
If another visit is needed schedule another SNAP Enrollment-60 for additional time. Chart and bill accordingly.
Document the status of the patients SNAP application and update it as the status changes (for example, eligible, applied, etc.)
Best Practices for follow up re: a SNAP appointment
Ask the patient if they have received any follow up regarding their application during your next scheduled visit
If benefits were approved - update the patient's chart to indicate that
If a follow up isn't scheduled - call the patient to check the status of their SNAP application and if benefits have been approved, schedule a follow up