Change 1

Updated for the CY 2027 Medicare Physician Fee Schedule Final Rule (CMS-1848-F), released Nov 4, 2026. Effective Jan 1, 2027. Last verified: November 5, 2026

Help center · Credentials and qualifications

Can dietitians or CHWs furnish health coaching?

Answered by Angel Reyes, MCHES®Last verified: November 5, 2026

Short answer

Commenters asked CMS to name RDs, CHWs, pharmacists, social workers and others. CMS did not add them by name, but the pathway list is non-exhaustive, so qualification turns on "appropriate certification" and the CPT training language.

Dietitians should also watch state scope-of-practice rules, since medical nutrition therapy is a separate service with its own requirements.

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