Section 3174-CCC - Chiropractic services reimbursement1. Reimbursement.[Effective until contingency; see note] The department shall reimburse under the MaineCare program for chiropractic evaluation and management examinations performed by a chiropractic doctor licensed under Title 32, chapter 9 that are within the scope of practice of chiropractic doctors. This subsection does not limit reimbursements under the MaineCare program that may be available for other chiropractic services or affect any limits that may apply to reimbursements such as limits relating to numbers of visits. [2019, c. 421, §1(NEW); RR 2019, c. 1, Pt. A, §24(RAL).]
1. Reimbursement.[Effective on contingency; see note] The department shall reimburse under the MaineCare program for certain chiropractic services, as described in this section and defined in department rules, performed by a chiropractic doctor licensed under Title 32, chapter 9 that are within the scope of practice of chiropractic doctors. Services that are reimbursed are the following: A. Treatment by means of manual manipulation of the spine; [2023, c. 454, §1(NEW); 2023, c. 454, §4(AFF).]B. Evaluation and management examinations; and [2023, c. 454, §1(NEW); 2023, c. 454, §4(AFF).]C. Physical therapy when the service is otherwise covered by MaineCare when performed by a physical therapist licensed under Title 32, chapter 45-A. [2023, c. 454, §1(NEW); 2023, c. 454, §4(AFF).] This subsection does not affect any limits that may apply to reimbursements such as limits on the number of visits.
[2023, c. 454, §1(RPR); 2023, c. 454, §4(AFF).]
2. Rulemaking. The department may adopt rules to implement this section. Rules adopted pursuant to this subsection are routine technical rules as defined by Title 5, chapter 375, subchapter 2-A. [2019, c. 421, §1(NEW); RR 2019, c. 1, Pt. A, §24(RAL).]
Amended by 2023SP1, c. 454,§ 1, eff. when the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services approves a state plan amendment to allow for Medicaid reimbursement for physical therapy services performed by chiropractic doctors licensed under Title 32, chapter 9 within their scope of practice as long as those services are covered when performed by licensed physical therapists; and the Commissioner of Health and Human Services notifies the Secretary of State, the Secretary of the Senate, the Clerk of the House of Representatives and the Revisor of Statutes that written approval for the state plan amendment has been received.Added by 2018SP2, c. 454,§ 1, eff. 12/13/2018.Renumbered from 3174-AAA by Revisor.