Connecticut insurance law on MNT and nutrition counseling
The short answerConnecticut requires individual (38a-492e) and group (38a-518e) health policies to cover diabetes outpatient self-management training, which includes medical nutrition therapy. Initial training is capped at 10 hours, with 4 more hours for a significant change and 4 for new treatment techniques.
By Javier Alvarez · Updated · 1 min read
1 row: State insurance law · Connecticut. Public policy, not the member's benefits.
Connecticut insurance law
Fully insured plans (Conn. Gen. Stat. 38a-492e and 38a-518e) · Connecticut
| 97802 | Not published |
|---|---|
| 97803 | Not published |
| G0270 | Not published |
| G0271 | Not published |
| Where it applies | Individual health insurance policies (38a-492e) and group health insurance policies (38a-518e) of the types in subdivisions (1), (2), (4), (11) and (12) of section 38a-469. Benefits carry the same terms and conditions as other benefits under the policy. [1] |
| Diagnoses | Insulin-dependent, insulin-using, gestational, and non-insulin-using diabetes. [1] |
| Telehealth POS | Not published: call the payer. |
| Telehealth modifier | Not published: call the payer. |
| Visit limits | Initial training after diagnosis: a maximum of 10 hours. Training after a significant change in symptoms or condition: a maximum of 4 hours. Training because of new techniques and treatment: a maximum of 4 hours. [1] |
| Referral and prior auth | The training must be prescribed by a licensed health care professional who has state authority to prescribe it. [1] |
| Who can bill | A certified, registered or licensed health care professional trained in the care and management of diabetes, within the scope of practice. Dietitians are not named in these two sections. [1] |
- Connecticut General Statutes: Chapter 700c, ss. 38a-492e and 38a-518e (current), checked October 30, 2026
What the Connecticut law says
- Where it applies. Individual health insurance policies (38a-492e) and group health insurance policies (38a-518e) of the types in subdivisions (1), (2), (4), (11) and (12) of section 38a-469. Benefits carry the same terms and conditions as other benefits under the policy.
- Diagnoses. Insulin-dependent, insulin-using, gestational, and non-insulin-using diabetes.
- Visit limits. Initial training after diagnosis: a maximum of 10 hours. Training after a significant change in symptoms or condition: a maximum of 4 hours. Training because of new techniques and treatment: a maximum of 4 hours.
- Referral and prior auth. The training must be prescribed by a licensed health care professional who has state authority to prescribe it.
- Who can bill. A certified, registered or licensed health care professional trained in the care and management of diabetes, within the scope of practice. Dietitians are not named in these two sections.
What it means for a claim in Connecticut
The law sets a floor for the plans it reaches; the plan's own policy and the member's contract still decide the codes, units and referral. On the benefits call, ask whether the plan is fully insured in Connecticut, and if a covered service is denied, name the statute by section in the appeal. The sources below link to the statute itself.
Payers with their own row for Connecticut: Anthem Blue Cross and Blue Shield and Connecticut Medicaid. The state laws side by side compare Connecticut with other states.