Facing Credentialing Discrimination as a CNS? Here’s What You Need to Know—and Do
If you’re a Certified Nutrition Specialist (CNS) navigating the credentialing process, you’ve likely encountered unexpected roadblocks—even in states where your credential is legally recognized.
You’re not alone.
Many CNS professionals come to us at Holistika Consulting expressing the same frustration. Despite meeting all education, experience, and board certification requirements—and even holding a state-issued license—they’re being told:
❌ "We only credential Registered Dietitians."
❌ "Your credential isn’t on our approved list."
❌ "We don’t recognize CNS providers."
❌ "Try applying as something else."
🛑 The Problem: Systemic Misinformation and Case-by-Case Barriers
Let’s be clear: this isn’t always based on law.
In many cases, credentialing denials stem from outdated policies, a lack of awareness, or confusion about state licensure pathways.
What makes this more complex is that credentialing is often case-by-case. Two CNSs in the same state, applying to the same insurance company, can receive completely different responses. It might depend on who reviewed the application, how the documents were labeled, or whether the rep was familiar with CNS credentials at all.
Here are a few examples we’ve heard:
A CNS in Maryland received rejection because the rep believed only RDs were licensed—despite Maryland having a clear CNS licensure path.
A CNS candidate in Washington nearly gave up after being discouraged by hearsay—but when she applied herself, the outcome was different.
These stories highlight a critical truth:
Don’t base your decision to apply—or not apply—on someone else’s experience.
🚨 Why This Matters
Discrimination in the credentialing process doesn't just impact your income. It restricts access to care for thousands of clients who need functional, whole-person nutrition support.
As a CNS, you’re trained to handle complex nutrition cases—often ones traditional systems overlook. When you're denied access to insurance networks due to bias or misinformation, clients miss out, and you miss the chance to expand your impact.
✅ What You Can Do: Advocate and Act
If you're denied—or discouraged—from credentialing, here are steps you can take:
1. Understand Your State's Legal Framework
Check your state’s laws regarding CNS licensure. Many states offer full licensure or certification for CNSs to practice independently.
🔗 Use the ANA Scope of Practice Map to verify.
2. Always Ask for Denials in Writing
Verbal rejections are not final. Request a written explanation of why your credential was not accepted. This helps clarify whether it’s based on law or internal policy.
3. Keep Records
Track all communications—emails, phone calls, names of reps. This information is valuable if you choose to escalate or appeal.
4. Escalate the Issue If Needed
If you’re licensed and still denied, you can file a complaint with your state’s Department of Insurance or contact the National Association of Insurance Commissioners (NAIC).
You can also write to your state health department, licensing board, or state legislators to highlight that your credential is being improperly excluded.
💬 Your Journey Is Unique
At Holistika Consulting, we speak to CNS professionals every week who face these same challenges. And what we’ve learned is this: every case is different.
Just because one person was denied doesn’t mean you will be. And just because a rep says no, doesn’t mean they’re right.
Don’t let misinformation, hearsay, or fear keep you from applying. Be thorough. Be persistent. Make the calls. Ask the questions. And most importantly, don’t let anyone else decide your path for you.
🧭 Ready to Move Forward?
We specialize in helping CNSs navigate the credentialing process with confidence—from understanding your state’s requirements to preparing complete, professional applications.
⚖️ Disclaimer: This blog is for educational purposes only and does not constitute legal advice. Please consult an attorney for guidance specific to your situation.
