Vermont insurance law on MNT and nutrition counseling
The short answerVermont requires health insurance plans to cover outpatient diabetes self-management training and education, including medical nutrition therapy, when a health care professional prescribes it. The provider must have specialized diabetes training.
By Javier Alvarez · Updated · 1 min read
1 row: State insurance law · Vermont. Public policy, not the member's benefits.
Vermont insurance law
Fully insured plans (8 V.S.A. 4073) · Vermont
| 97802 | Not published |
|---|---|
| 97803 | Not published |
| G0270 | Not published |
| G0271 | Not published |
| Where it applies | A health insurance plan in Vermont. Covers equipment, supplies, and outpatient self-management training and education, including medical nutrition therapy. Recodified and amended effective September 1, 2025. [1] |
| Diagnoses | Insulin-dependent, insulin-using, gestational, and noninsulin-using diabetes. [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 | Must be prescribed by a health care professional. [1] |
| Who can bill | A certified, registered, or licensed health care professional with specialized training in the education and management of diabetes. Dietitians are not named. [1] |
- Vermont Statutes: 8 V.S.A. s. 4073 Diabetes treatment (2025 session text), checked October 30, 2026
What the Vermont law says
- Where it applies. A health insurance plan in Vermont. Covers equipment, supplies, and outpatient self-management training and education, including medical nutrition therapy. Recodified and amended effective September 1, 2025.
- Diagnoses. Insulin-dependent, insulin-using, gestational, and noninsulin-using diabetes.
- Referral and prior auth. Must be prescribed by a health care professional.
- Who can bill. A certified, registered, or licensed health care professional with specialized training in the education and management of diabetes. Dietitians are not named.
What it means for a claim in Vermont
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 Vermont, 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 Vermont: BCBS of Vermont and MVP Health Care. The state laws side by side compare Vermont with other states.