Provider Eligibility

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.