CMS Long-Term Care Rule Change

The PA Academy of Nutrition and Dietetics is pleased to announce that the CMS Long Term Rule Change regarding delegated dietitian diet order writing has been approved for implementation in LTC facilities in Pennsylvania.  Our partners, The Pennsylvania Board of Nursing, PA Medical Society, Hospital and Healthsystem Association of Pennsylvania, and the Department of Health, Division of Nursing Care Facilities are in support of the rule change. You can learn the specifics of the rule change by reading our Newsletter, or by downloading the FAQ: CMS-LTC-Rule-Change-FAQ-November-2017.pdf

Implementation Toolkit

The Pennsylvania Academy of Nutrition and Dietetics and the CMS Long Term Care Task Force developed a rule change implementation tool kit to assist LTC facilities with implementing the new rule.  The toolkit is free to PA Academy Members or $25 for non-members.  Non-members may order the toolkit using the form below.  If you have any questions or difficulties with the form for purchasing the toolkit, please contact us at

Thank you to the CMS Long-Term Care Task Force for their hard work on this valuable resource for Pennsylvania RDNs.

If you have specific questions about the CMS Long-Term Care rule change or implementation process, please contact:
Meg Rowe, MS, RD, LDN, FAND
CMS Long-Term Care Task Force Chair & Delegate of the Pennsylvania Academy of Nutrition & Dietetics

This tool kit and the information regarding the CMS LTC rule change of 2016 on the PAND website are specific to Pennsylvania. Other states may have different regulations.