UnitedHealthcare Community Plan of New Jersey MNT coverage: codes, telehealth and limits
The short answerYes. UnitedHealthcare Community Plan says New Jersey allows nutritionists to be paid for 97802, 97803 and 97804. Daily caps are 4 units for 97802 and 97804 and 8 units for 97803. The MLTSS guide shows these codes billed with modifier U1.
By Javier Alvarez · Updated · 1 min read
1 row: UnitedHealthcare Community Plan · New Jersey. Public policy, not the member's benefits.
UnitedHealthcare Community Plan of New Jersey
Medicaid managed care (UnitedHealthcare Community Plan of New Jersey, including MLTSS) · New Jersey
| 97802 | Listed (initial assessment. Shown as 97802U1 in the MLTSS guide.) [1][2] |
|---|---|
| 97803 | Listed (reassessment. Shown as 97803U1 in the MLTSS guide.) [1][2] |
| G0270 | Not published |
| G0271 | Not published |
| Where it applies | New Jersey Medicaid exception in the UnitedHealthcare Community Plan nonphysician billing policy (2026R0112E). A separate quick reference guide covers MLTSS nutritional supports. [1][2] |
| Diagnoses | Not published: call the payer. |
| Other codes | 97804 (group MNT, each 30 minutes) is also listed for New Jersey, and the MLTSS guide shows it as 97804U1. [1][2] |
| Telehealth POS | Not published: call the payer. |
| Telehealth modifier | For New Jersey the telehealth policy lists only H0006 and 90792 as allowed with POS 02 and 10. It does not name MNT codes. [3] |
| Telehealth rules | The telehealth policy lists a registered dietitian or nutrition professional among the practitioners eligible to be paid for telehealth. Some states (for example Colorado, Pennsylvania, Washington) are listed as not following this policy, and others have their own code lists. Check the state exceptions. [3] |
| Visit limits | Maximum 4 units per day for 97802 and 97804, and 8 units per day for 97803, as a New Jersey Medicaid exception. The policy says CMS MUE values are applied first. [4] |
| Referral and prior auth | Not published: call the payer. |
| Who can bill | Nutritionists. The MLTSS guide says registered dietitians and nutritionists can request a credentialing application through the plan's Join our network page. [1][2] |
| Payment | Claims go to Payer ID 86047 through the UnitedHealthcare Provider Portal. No dollar rate is published in these documents. [2] |
| Also | The policies point to each state's Medicaid regulations, manuals and fee schedules as the source for what is covered. Look for a state row for New Jersey or Washington. [1] |
- UnitedHealthcare Community Plan: Nonphysician Health Care Professionals Billing Evaluation and Management Codes Policy, Professional (2026R0112E), checked October 30, 2026
- UnitedHealthcare Community Plan of New Jersey: MLTSS nutritional supports quick reference guide (PCA-1-25-01490-C&S-QRG_07072025), checked October 30, 2026
- UnitedHealthcare Community Plan: Telehealth/Virtual Health Policy, Professional and Facility (2026R7133S), checked October 30, 2026
- UnitedHealthcare Community Plan: Maximum Frequency Per Day Policy, Professional (2026R0060Y), checked October 30, 2026
What changes for UnitedHealthcare Community Plan in New Jersey
The codes, diagnoses and limits on this page are UnitedHealthcare Community Plan's national rules from the UnitedHealthcare Community Plan page. What New Jersey adds, from UnitedHealthcare Community Plan and UnitedHealthcare Community Plan of New Jersey:
- Where it applies. New Jersey Medicaid exception in the UnitedHealthcare Community Plan nonphysician billing policy (2026R0112E). A separate quick reference guide covers MLTSS nutritional supports.
- Other codes. 97804 (group MNT, each 30 minutes) is also listed for New Jersey, and the MLTSS guide shows it as 97804U1.
- Telehealth modifier. For New Jersey the telehealth policy lists only H0006 and 90792 as allowed with POS 02 and 10. It does not name MNT codes.
- Visit limits. Maximum 4 units per day for 97802 and 97804, and 8 units per day for 97803, as a New Jersey Medicaid exception. The policy says CMS MUE values are applied first.
- Who can bill. Nutritionists. The MLTSS guide says registered dietitians and nutritionists can request a credentialing application through the plan's Join our network page.
- Payment. Claims go to Payer ID 86047 through the UnitedHealthcare Provider Portal. No dollar rate is published in these documents.
Check an UnitedHealthcare Community Plan claim against the row
Before an UnitedHealthcare Community Plan of New Jersey 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 UnitedHealthcare Community Plan with another payer, then download the PDF of what you see.