10A NCAC 25P .0403 CHIROPRACTIC SERVICES
(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.