Which Medicare beneficiaries can use the MNT benefit and are there eligibility criteria for beneficiaries to receive the MNT benefit?
Medicare beneficiaries who have Part B Medicare services can use this service with a referral from their treating physician. Part B services are purchased by people eligible for Medicare and pertain to outpatient services. They pay a monthly premium for Part B coverage. Part A Medicare is for inpatient services and people eligible for Medicare Part A pay no fee for this service. The eligibility criteria for Part B Medicare beneficiaries to receive MNT are for diabetes: 1) must be diagnosed with type 1, type 2 or gestational diabetes (defined in diagnostic criteria for diabetes is a fasting glucose = 126 mg/dl)(1); 2) must be referred for MNT by their treating physician. The criteria for beneficiaries with kidney disease is: 1) diagnosis of renal disease, meaning chronic renal insufficiency; end-stage renal disease when dialysis is not received (diagnostic criteria of GFR 13-50 ng.min/1.73m2,); and the medical condition of a beneficiary for 36 months after a kidney transplant (criteria
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