# Medicare and Medicaid Programs; Requirements for Paid Feeding Assistants in Long Term Care Facilities
> **Centers for Medicare and Medicaid Services** · Final rule. · Published 2003-09-26 · Effective 2003-10-27 · 68 FR 55528
## Document
- **Document number:** 03-24362
- **Category:** medicare
- **Sub-agency:** Centers for Medicare and Medicaid Services
- **Federal Register citation:** 68 FR 55528
- **CFR reference:** 42 CFR 483
- **Publication date:** 2003-09-26
- **Effective date:** 2003-10-27
- **HHS docket:** CMS-2131-F
## Abstract

This final rule permits a long term care facility to use paid feeding assistants to supplement the services of certified nurse aides under certain conditions. States must approve training programs for feeding assistants using Federal requirements as minimum standards. Feeding assistants must successfully complete a State-approved training program and work under the supervision of a registered nurse or licensed practical nurse. The intent is to provide more residents with help in eating and drinking and reduce the incidence of unplanned weight loss and dehydration.

## Source
- [Federal Register document](https://www.federalregister.gov/documents/2003/09/26/03-24362/medicare-and-medicaid-programs-requirements-for-paid-feeding-assistants-in-long-term-care-facilities)
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