Quarterly Provider Updates
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| File Name |
CMS-5037-N |
| Subject |
Medicare Program; Demonstration of Coverage of Chiropractic Services Under Medicare |
| Publication/Implementation Date |
01/28/2005 |
| Quarterly Release Date |
01/01/2005 |
| Provider Type |
Other CMS Business |
| Type of Regulation |
N/A |
| Regulation Summary |
This notice announces the implementation of a demonstration mandated under Section 651 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) (Pub. L. 108-173), which will expand coverage of chiropractic services under Medicare beyond the current coverage for manipulation to correct a neuromusculoskeletal condition. Chiropractors will be permitted to bill Medicare for diagnostic and other services that a chiropractor is legally authorized to perform by the State or jurisdiction in which such treatment is provided. The demonstration will be conducted in four sites, two urban and two rural; one site in each area type must be a health professional shortage area (HPSA). Any chiropractor that provides services in these geographic areas will be able to participate in the demonstration. Any beneficiary enrolled under Medicare Part B, and served by chiropractors practicing in these sites would be eligible to receive services. Physician approval would not be required for these services. The statute requires that the demonstration be budget neutral. We anticipate that the demonstration will begin in April 2005 and operate for two years. |
| Additional Information |
N/A |
| | Downloads | CMS-5037-N [PDF, 57KB]
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Last Modified Date : 10/03/2005
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