Code of Massachusetts Regulations
130 CMR - DIVISION OF MEDICAL ASSISTANCE
Title 130 CMR 441.000 - Chiropractor Services
Section 441.404 - Provider Eligibility
Universal Citation: 130 MA Code of Regs 130.441
Current through Register 1531, September 27, 2024
The MassHealth agency pays only chiropractors who are participating in MassHealth on the date of service. Chiropractors must meet the following eligibility requirements.
(A) In-state Providers. To be eligible to participate in MassHealth, an in-state chiropractor must
(1)
be licensed by the Massachusetts Board of Registration of
Chiropractors;
(2) be an active
MassHealth provider; and
(3)
participate in the Medicare program as a chiropractor.
(B) Out-of-state Providers. To be eligible to participate in MassHealth, an out-of-state chiropractor must
(1) obtain a
MassHealth provider number and maintain active provider status;
(2) participate in his or her own state's
Medicaid program;
(3) be currently
licensed as a chiropractor in his or her own state, or in a state that does not
license chiropractors, be legally authorized to perform the services of a
chiropractor in that state; and
(4)
participate in the Medicare program as a chiropractor.
Disclaimer: These regulations may not be the most recent version. Massachusetts may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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