HF 3819

as introduced - 89th Legislature (2015 - 2016) Posted on 04/06/2016 12:10pm

A bill for an act
relating to human services; modifying medical assistance coverage for
chiropractic services; amending Minnesota Statutes 2014, section 256B.0625,
subdivision 8e.

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

Section 1.

Minnesota Statutes 2014, section 256B.0625, subdivision 8e, is amended to
read:

Subd. 8e.

Chiropractic services.

deleted text begin Payment for chiropractic services is limited to one
annual evaluation and 24 visits per year unless prior authorization of a greater number
of visits is obtained deleted text end new text begin (a) Medical assistance covers chiropractic services as provided by
this subdivision new text end .

new text begin (b) Medical assistance covers adjustments, mobilizations, or manipulations, as
defined in section 148.01. Prior authorization shall not be required unless the number of
visits in which an adjustment, mobilization, or manipulation was performed exceeds
24 during a calendar year.
new text end

new text begin (c) Covered chiropractic services include other services covered under this section
that fall within the scope of practice of chiropractic, as defined in section 148.01. These
services include, but are not limited to:
new text end

new text begin (1) all evaluation and management services required for the care of new and
established patients;
new text end

new text begin (2) medical supplies and equipment prescribed or provided by a chiropractor as a
necessary adjunct to the direct treatment of the recipient's condition;
new text end

new text begin (3) therapeutic services, as defined in section 148.01, subdivision 1, clause (6); and
new text end

new text begin (4) diagnostic services, as defined in section 148.01, subdivision 1, clause (5).
new text end

new text begin (d) Services provided by a chiropractor shall be reimbursed at the highest base rate
for the current procedural terminology (CPT) code that would apply if the service was
provided by a physician, osteopath, physical therapist, or other provider, as follows:
new text end

new text begin (1) for a service other than an adjustment, mobilization, or manipulation, the same
CPT code that is applied to other health care providers must be used; and
new text end

new text begin (2) for an adjustment, mobilization, or manipulation, the CPT code for the covered
procedure that is the closest equivalent to an adjustment, mobilization, or manipulation
must be used.
new text end

new text begin (e) This subdivision applies to chiropractic services and reimbursement provided
under fee-for-service, and provided through managed care plans, county-based purchasing
plans, and other entities under sections 256B.69 and 256B.692 and chapter 256L.
new text end