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Monthly Nutritional Supplement (MNS)
Policy
Monthly Nutritional Supplement: April 1, 2010
Reviewing the Monthly Nutritional Supplement: April 1, 2010


Monthly Nutritional Supplement: April 1, 2010
April 1, 2010A monthly nutritional supplement (MNS) may be provided to recipients with Persons with Disabilities designation who are in receipt of disability assistance and who have a severe medical condition causing a chronic, progressive deterioration of health with symptoms of wasting. This supplement is intended to prevent imminent danger to the person’s life by providing essential, specified items to supplement regular nutritional needs.
An MNS may consist of one or both of the following:
- additional nutritional items (to supplement a regular diet)
- vitamins and minerals
The maximum amounts provided under MNS are shown in Rate Table: Health Supplements and Programs.

Eligibility: April 1, 2010
April 1, 2010A monthly nutritional supplement (MNS) is only available to a recipient eligible for the Persons with Disabilities designation who is receiving disability assistance and if the ministry is satisfied that the following conditions are met based on written confirmation by the recipient’s medical practitioner or nurse practitioner:
- the person has a severe medical condition causing a chronic, progressive deterioration of health
- as a result of this deterioration of health, the person displays two or more of the following symptoms:
- malnutrition
- underweight status
- significant weight loss
- significant muscle mass loss
- significant neurological degeneration
- significant deterioration of a vital organ
- moderate to severe immune suppression
- malnutrition
- to alleviate these symptoms, the person requires one or both of the following items:
- additional nutritional items that are part of a caloric supplementation to a regular dietary intake
- vitamins and minerals
- additional nutritional items that are part of a caloric supplementation to a regular dietary intake
- failure to obtain these items will result in imminent danger to the person’s life
An MNS may only be provided if the person’s family unit does not have any resources available to pay for the items.
Recipients who are in receipt of the nutritional items portion of the MNS are not eligible for any other diet supplement or the short-term nutritional supplement. Recipients who are in receipt of the vitamins and minerals portion of the MNS retain eligibility for a diet supplement or supplement for short term nutritional products. [see Related Links – Diet Supplements or Nutritional Supplements]
Persons in receipt of any portion of the MNS (nutritional items and/or vitamins and minerals) are not eligible for the tube feed supplement. Persons that are eligible for the MNS and the tube feed supplement must choose which of these supplements they would like to receive. [see Related Links – Tube Feed Supplement]
Recipients of an appeal award under section 2 (3) of Schedule C are not eligible for an MNS. If the amount of their award is less than the amount shown in Rate Table: Health Supplements and Programs, they may apply for the MNS. If approved, the MNS would replace the previously awarded supplement.

Reviewing the Monthly Nutritional Supplement: April 1, 2010
April 1, 2010As nutritional needs and medical conditions can change, it is necessary for the ministry to complete regular reviews to confirm a recipient’s continued eligibility for the monthly nutritional supplement (MNS).
The eligibility review will begin with a review of existing medical information already on MIS or ICM. During this first stage of the MNS review, the ministry will consider various factors including, but not limited to, the nature of the medical condition, likelihood of improvement/recovery and the duration of need indicated by the medical or nurse practitioner.
In cases where the medical documentation on file confirms ongoing eligibility requirements have been met, there will be no change to the client’s file and they will continue to receive MNS.
In cases where there is insufficient information to confirm ongoing eligibility, recipients will be notified that a new MNS application form must be submitted. Upon receipt of the new MNS application, the ministry will make an eligibility decision and advise the client of the outcome.



