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HF 477

as introduced - 92nd Legislature (2021 - 2022) Posted on 04/14/2021 10:56am

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 and MinnesotaCare; amending Minnesota Statutes 2020, section
256B.0625, subdivision 8e; repealing Minnesota Statutes 2020, 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 2020, section 256B.0625, subdivision 8e, is amended to
read:


Subd. 8e.

Chiropractic services.

deleted text beginPayment fordeleted text end new text begin(a) Medical assistance covers new text endchiropractic
services deleted text beginisdeleted text endnew text begin and related services. Services under this paragraph 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) Subject to the limitations of paragraph (a), medical assistance covers spinal
manipulation, therapeutic exercise, and extraspinal manipulation, provided by an individual
licensed to practice under section 148.06. Covered therapies are 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new text begin (a) new text end new text begin Minnesota Rules, part 9505.0245, new text end new text begin is repealed.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new text end new text begin Minnesota Statutes 2020, section 256L.03, subdivision 3b, new text end new text begin is repealed.
new text end

APPENDIX

Repealed Minnesota Statutes: 21-01486

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Repealed Minnesota Rule: 21-01486

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.