Nonpayable Services

Nonpayable services include, but are not limited to, the following: (A) the chiropractic treatment of diseases and pathological disorders other than those related to a neuromusculoskeletal condition (including, but not limited to, rheumatoid arthritis, muscular dystrophy, multiple sclerosis, pneumonia, and emphysema); (B) chiropractic manipulative treatment, office visits, and radiology services not personally provided by the chiropractor, in accordance with 130 CMR 450.301: Claims; (C) chiropractor services provided in settings other than the chiropractor's office, or in the case of a MassHealth CHC provider billing for chiropractor services provided on site by a CHC-employed or contracted chiropractor, at a CHC. Nonpayable settings include, but are not limited to, inpatient or outpatient hospitals, nursing facilities, rest homes, and the member's home; (D) laboratory services; (E) orthotic devices, corrective devices, and orthopedic appliances; (F) research, or experimental, unproven, or medically unnecessary procedures or treatment; (G) maintenance therapy, that is, chiropractic manipulative treatment to maintain health or prevent regression when the member is no longer suffering or presenting symptoms; (H) supportive services such as, but not limited to, nutritional counseling, educational services, and printed materials; (I) physiotherapy, physical therapy, muscular stimulation, heat packs, or massage; and (J) vitamins, minerals, food supplements, or other such supplies.