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9505.0245 CHIROPRACTIC SERVICES.

Subpart 1.

Definitions.

The following terms used in this part have the meanings given them.

A.

"Chiropractic service" means a medically necessary health service provided by a chiropractor.

B.

"Chiropractor" means a person licensed under Minnesota Statutes, sections 148.01 to 148.108.

Subp. 2.

Payment limitations.

Medical assistance payment for chiropractic service is limited to medically necessary manual manipulation of the spine for treatment of incomplete or partial dislocations and the x-rays that are needed to support a diagnosis of subluxation.

A.

Payment for manual manipulations of the spine of a recipient is limited to six manipulations per month and 24 manipulations per year unless prior authorization of a greater number of manipulations is obtained.

B.

Payment for x-rays is limited to radiological examinations of the full spine; the cervical, thoracic, lumbar, and lumbosacral areas of the spine; the pelvis; and the sacroiliac joints.

Subp. 3.

Excluded services.

The following chiropractic services are not eligible for payment under the medical assistance program:

A.

laboratory service;

B.

diathermy;

C.

vitamins;

D.

ultrasound treatment;

E.

treatment for a neurogenic or congenital condition that is not related to a diagnosis of subluxation;

F.

medical supplies or equipment supplied or prescribed by a chiropractor; and

G.

x-rays not listed in subpart 2.

Statutory Authority:

MS s 256B.04

History:

12 SR 624

Published Electronically:

January 14, 2010

Official Publication of the State of Minnesota
Revisor of Statutes