Definition. “Unit of service” means an hour of service rendered one-on-one by a qualified provider for a participant in the participant's home or the provider's office. Dietitian and nutritionist services shall include: The provision of a nutrition care plan as part of the ICS Program multidisciplinary team process; Nutrition care planning, nutrition assessment, and dietetic instruction; and Services within the scope of practice of the nutritionist's or dietitian's license, as defined by: Health Occupations Article, Title 5, Annotated Code of Maryland; and Regulations under COMAR 10.56 for the Board of Dietetic Practice. Dietitian and nutritionist services may not include services rendered on a group basis or in a classroom setting. The services shall be: Covered if the participant's medical condition requires the judgment, knowledge, and skills of a licensed nutritionist or licensed dietitian; Targeted to the individualized needs of the participant, rather than being of general interest; Sensitive to the educational background, culture, religion, eating habits, preferences, and general environment of the participant; and Specified in the participant's plan of service as necessary to: Ensure the participant's health and safety; and Prevent the participant's institutionalization or hospitalization.