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HF 1357

1st Engrossment - 90th Legislature (2017 - 2018) Posted on 03/28/2018 01:40pm

KEY: stricken = removed, old language.
underscored = added, new language.
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A bill for an act
relating to human services; modifying coverage of chiropractic services under
medical assistance; amending Minnesota Statutes 2016, section 256B.0625,
subdivision 8e; repealing Minnesota Rules, part 9505.0245.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

Section 1.

Minnesota Statutes 2016, section 256B.0625, subdivision 8e, is amended to
read:


Subd. 8e.

Chiropractic services.

deleted text beginPayment fordeleted text endnew text begin (a) Medical assistance coversnew text end chiropractic
services deleted text beginisdeleted text endnew text begin and related services, which arenew text end limited to deleted text beginone annual evaluation anddeleted text end 24 visits per
year unless prior authorization of a greater number of visits is obtained.

new text begin (b) Medical assistance may cover medically necessary therapy and evaluation and
management services provided by an individual licensed to practice under section 148.06,
subject to the limitations of paragraph (a), and if the service is otherwise a covered medical
assistance service and is within the individual's scope of practice. The commissioner, in
consultation with the Health Services Policy Committee established in subdivision 3c, shall
specify which therapy and evaluation and management services are covered. Covered therapy
and evaluation and management services shall be limited to those related to a chiropractic
plan of care.
new text end

Sec. 2. new text begin REPEALER.
new text end

new text begin Minnesota Rules, part 9505.0245, new text end new text begin is repealed.
new text end

APPENDIX

Repealed Minnesota Rule: H1357-1

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.