(a)  No reimbursement from North Carolina Medicaid shall be made for x‑rays or other diagnostic or therapeutic services provided by a chiropractor except as provided in this Rule.

(b)  Medicaid coverage of chiropractic services is limited to manual manipulation of the spine to correct a subluxation.

(c)  Subluxation shall be confirmed by physical examination or by one set of x-rays taken within six months of the initial date of service.

(d)  The treatment plan shall document:

(1)           the symptoms or diagnosis treated;

(2)           diagnostic procedures and treatment modalities used;

(3)           results of diagnostic procedures and treatments; and

(4)           anticipated length of treatments.

(e)  Medical documentation shall support continued treatment.

(f)  Chiropractic providers shall meet the educational requirements as outlined in 42 CFR 410.21(a).


History Note:        Authority G.S. 108A‑25(b); 108A‑54; 42 C.F.R. 440.60;

Eff. February 1, 1976;

Amended Eff. September 30, 1977;

Readopted Eff. October 31, 1977;

Amended Eff. January 1, 2009; May 1, 1990; January 1, 1984;

Transferred from 10A NCAC 22O .0106 Eff. May 1, 2012.