New York Medicaid MNT coverage: codes and referrals
The short answerSince January 1, 2024, New York Medicaid lets certified dietitians/nutritionists enroll and bill directly for medically necessary MNT, for fee-for-service and managed care members. A licensed practitioner must recommend the service, and fee-for-service claims use 97802 and 97803 in 15-minute units (97804 for groups). Managed care plans set their own billing rules and fees.
By Javier Alvarez · Updated · 1 min read
1 row: Medicaid (by state) · New York. Public policy, not the member's benefits.
New York Medicaid
Fee-for-service and Medicaid Managed Care · New York
| 97802 | Listed (15-minute units) [1] |
|---|---|
| 97803 | Listed (15-minute units) [1] |
| G0270 | Not published |
| G0271 | Not published |
| Diagnoses | Not published: call the payer. |
| Other codes | 97804, in 30-minute units. [1] |
| Telehealth POS | Not published: call the payer. |
| Telehealth modifier | Not published: call the payer. |
| Visit limits | Not published: call the payer. |
| Referral and prior auth | Recommended by a licensed practitioner acting within their scope (physicians, PAs, NPs, certified dietitians/nutritionists and others). [1] |
| Who can bill | Dietitians/nutritionists certified under NYS Education Law Article 157 and enrolled in NYS Medicaid, since January 1, 2024. [1][2] |
| Managed care plans | Medicaid Managed Care enrollees are covered too; contract with the plan, whose billing rules and fees apply. [2] |
- eMedNY: Dietitian/Nutritionist Policy Manual (effective Jan 1, 2024, PDF), checked September 28, 2026
- NYS DOH: Medicaid Update, December 2023: MNT services provided by qualified dietitians/nutritionists, checked September 28, 2026
Check a Medicaid claim against the row
Before a New York Medicaid claim goes out, compare it with the row above: the code is one the policy lists, the place of service and modifier match for a video visit, and the units fit the limit. Change the filters to compare Medicaid with another payer, then download the PDF of what you see. More on the New York Medicaid coverage guide.