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.