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HF 1394

as introduced - 91st Legislature (2019 - 2020) Posted on 03/02/2020 04:27pm

KEY: stricken = removed, old language.
underscored = added, new language.
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Current Version - as introduced

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A bill for an act
 relating to human services; modifying coverage of chiropractic services under
medical assistance and MinnesotaCare; amending Minnesota Statutes 2018, section
256B.0625, subdivision 8e; repealing Minnesota Statutes 2018, section 256L.03,
subdivision 3b; Minnesota Rules, part 9505.0245.

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

Section 1.

Minnesota Statutes 2018, section 256B.0625, subdivision 8e, is amended to
read:


Subd. 8e.

Chiropractic services.

deleted text begin Payment fordeleted text end new text begin (a) Medical assistance covers new text end chiropractic
services deleted text begin isdeleted text end new text begin and related services, which arenew text end limited to one annual evaluation and 24 visits per
year unless prior authorization of a greater number of visits is obtained.

new text begin (b) Medical assistance covers spinal manipulation, therapeutic exercise, and extraspinal
manipulation, provided by an individual licensed to practice under section 148.06, and
subject to the limitations of paragraph (a). Covered therapies 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new text begin (a) new text end new text begin Minnesota Rules, part 9505.0245, new text end new text begin is repealed.
 new text end

new text begin (b) new text end new text begin Minnesota Statutes 2018, section 256L.03, subdivision 3b, new text end new text begin is repealed.
 new text end

APPENDIX

Repealed Minnesota Statutes: 19-1463

256L.03 COVERED HEALTH SERVICES.

Subd. 3b.

Chiropractic services.

MinnesotaCare covers the following chiropractic services: medically necessary exams, manual manipulation of the spine, and x-rays.

Repealed Minnesota Rule: 19-1463

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.