Medicaid reimburses for services rendered by licensed, Medicaid-participating chiropractors. Medicaid reimbursable services include a new patient visit, manipulation of the spine, and spinal x-rays. The new patient visit consists of a screening and any required manipulation of the spine.
Medicaid reimbursement for chiropractic services is limited to one visit per provider, per recipient, per day.
A new patient visit is limited to one per provider, per recipient. A new patient is one who has not received any professional services from the provider or provider group within the past three years.
Visits are limited to a total of 24 during a calendar year. Medicaid does not reimburse massage or heat treatments.
The provider may request authorization for reimbursement for services in excess of the service limitations for recipients under the age of 21.
Medicaid reimburses for chiropractic services for all Medicaid recipients.
Medicaid reimbursement for chiropractic services is the maximum Medicaid fee or the provider’s customary fee, whichever is lower.
There is a $1 recipient copayment for chiropractic services, per provider, per day, unless the recipient is exempt.