Florida insurance law on MNT and nutrition counseling
The short answerFlorida requires health insurance policies and group policies sold in the state to cover diabetes outpatient self-management training and educational services when a physician certifies they are necessary. A policy may require that nutrition counseling come from a licensed dietitian.
By Javier Alvarez · Updated · 1 min read
1 row: State insurance law · Florida. Public policy, not the member's benefits.
Florida insurance law
Fully insured plans (Fla. Stat. 627.6408) · Florida
| 97802 | Not published |
|---|---|
| 97803 | Not published |
| G0270 | Not published |
| G0271 | Not published |
| Where it applies | Health insurance policies and group health insurance policies sold in Florida. Covers equipment, supplies, and diabetes outpatient self-management training and educational services used to treat diabetes. [1] |
| Diagnoses | Diabetes (the statute does not list types). [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 | The patient's treating physician, or a physician who specializes in the treatment of diabetes, must certify that the services are necessary. [1] |
| Who can bill | The policy may require training to be under the direct supervision of a certified diabetes educator or a board-certified endocrinologist, and may require that nutrition counseling be provided by a licensed dietitian. [1] |
| Also | The Agency for Health Care Administration adopts standards for the training, taking into account American Diabetes Association standards. [1] |
- Florida Statutes 2025: s. 627.6408 Diabetes treatment services (Florida Senate), checked October 30, 2026
What the Florida law says
- Where it applies. Health insurance policies and group health insurance policies sold in Florida. Covers equipment, supplies, and diabetes outpatient self-management training and educational services used to treat diabetes.
- Diagnoses. Diabetes (the statute does not list types).
- Referral and prior auth. The patient's treating physician, or a physician who specializes in the treatment of diabetes, must certify that the services are necessary.
- Who can bill. The policy may require training to be under the direct supervision of a certified diabetes educator or a board-certified endocrinologist, and may require that nutrition counseling be provided by a licensed dietitian.
- Also. The Agency for Health Care Administration adopts standards for the training, taking into account American Diabetes Association standards.
What it means for a claim in Florida
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 Florida, 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 Florida: Florida Blue and Florida Medicaid. The state laws side by side compare Florida with other states.