Skip to Main Content

Starting January 1, 2025, Fidelis Care will provide outpatient behavioral health benefits to NJ FamilyCare members. Learn more about the behavioral health benefit changes (PDF).

Nutrition Counseling and Education Benefit Now Available

Aug 20, 2025

The New Jersey Division of Medical Assistance and Health Services (DMAHS) has developed a Nutrition Counseling and Education benefit for New Jersey Medicaid Managed Long Term Services and Supports (MLTSS) beneficiaries. This benefit was approved via a Section 1115 Demonstration Waiver and became effective on July 1, 2025.

Providers interested in delivering services related to the Nutrition
Counseling and Education benefit are required to staff a Registered Dietician or Registered Dietician Nutritionist with a current registration on file with the Commission on Dietetic Registration.

Qualified providers should bill the following HIPAA-compliant procedure
codes for this benefit:

  • 97802U1: Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15
    minutes. This code is used for the first visit with a qualified nutrition professional. The provider will assess the condition, perform a nutrition screen, and initiate a dietary plan that is specific to the patient’s needs.
  • 97803U1: Medical nutrition therapy; reassessment and intervention, individual, face-to-face with the patient, each 15 minutes. This code is for the subsequent visit after the initial visit has been completed. The provider reevaluates the diet in such a way that it improves the health and quality of life of the patient and advises the patient about long-term eating habits and health.
  • 97804U1: Medical nutrition therapy; group (2 or more individuals), each 30 minutes.

Members receiving this benefit must be enrolled in MLTSS. Below is a sample MLTSS Member ID Card:

For additional information and questions, please contact your Fidelis Care New Jersey Provider Services representative.

Thank you for your partnership as we work together to transform the health of our communities, one person at a time.