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COMBINED MANUAL

ISSUE DATE 10/2025

SPECIAL DIETS

0023.12

MFIP, DWP, SNAP, GA, GRH: No provisions.

MSA: A special need allowance for a special diet may be paid to MSA clients who are not residents of a nursing home, regional treatment center, or group residential housing facility.

Add an amount for special diet requirements to the monthly assistance standard. See below for the amount to add for a specific diet.

A licensed physician, advanced practice registered nurse, or physician assistant must prescribe the special diet(s). Verify the need at each recertification or more often if warranted. Do not require a unit to verify actual food expenditures. Another funding source must not be available to pay the diet costs.

The eligible diets and amounts are: ● Anti-dumping diet

$44.70 ● Controlled protein diet (40-60 grams and requires special products)

$298.00 ● Controlled protein diet (less than 40 grams and requires special products)

$372.50 ● Gluten free diet

$74.50 ● High protein diet (minimum 80 grams/day)

$74.50 ● High residue diet

$59.60 ● Hypoglycemic diet

$44.70 ● Ketogenic diet

$74.50 ● Lactose free diet

$74.50 ● Low cholesterol diet

$74.50 ● Pregnancy and lactation diet $104.30

When a client requests a payment for more than 1 diet, use the following guidelines to determine payment: ● If the recommended diets overlap one another with respect to their dietary components, allow the amount indicated for the more costly of the diets.

● If there is no overlap in the recommended dietary components of the prescribed diets, allow the total for all the prescribed diets.

● If a doctor prescribed diets which are mutually exclusive, do NOT allow either until adequate clarification has been received from the doctor who prescribed both diets.