130 CMR 441.402
Definitions
The following terms used in 130 CMR 441.000 have the meanings given in 130 CMR 441.402
unless the context clearly requires a different meaning. The reimbursability of services defined in
130 CMR 441.402 is not determined by these definitions, but by application of 130 CMR 441.000
and 130 CMR 450.000: Administrative and Billing Regulations.
Chiropractic Manipulative Treatment – the correction of misalignments, subluxations, or segmental
joint dysfunction of the bony articulations of the vertebral column, the pelvis, and adjacent areas.
Chiropractor – one who is licensed to practice chiropractic manipulation to correct interference
with spinal nerves by adjusting the spinal column.
Community Health Center (CHC) – a participating community health center enrolled as a
MassHealth CHC provider under 130 CMR 405.000: Community Health Center Manual.
Office Visit – a visit by a MassHealth member to a chiropractor's office for evaluation and
management services performed by a MassHealth-enrolled chiropractor, or to a community health
center (CHC) for evaluation and management services performed by a qualified chiropractor
employed by, or under contract with, a MassHealth-enrolled CHC. These services do not include
chiropractic manipulative treatment.
Subluxation – a segmental joint dysfunction, misalignment, fixation, or abnormal spacing of the
vertebrae.