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Elizabeth M. Whitehorn, Director

Provider Notice issued 06/29/12

Elimination of Chiropractic Services for Participants 21 Years of Age and Older

To:​ ​Participating Chiropractic
​Date: ​June 30, 2012
​Re: Elimination of Chiropractic Services for Participants 21 Years of Age and Older​

As a result of Public Act 097-0689(pdf), referred to as the Save Medicaid Access and Resources Together (SMART) Act, HFS is eliminating chiropractic services for participants 21 years of age and older effective July 1, 2012.

Participants under the age of 21 will continue to receive coverage for spinal manipulation procedures to correct subluxations of the spine. Allowable procedure codes may be found on the Chiropractic Fee Schedule(pdf) located on the department’s Web site.

Effective with dates of service on July 1, 2012 and after, claims for participants under the age of 21 must include a diagnosis of spinal subluxation. If the claim does not contain a diagnosis of subluxation, the claim will reject and providers will receive the error code G50, Chiropractic service inappropriate for diagnosis.

Questions regarding this notice may be directed to the Bureau of Comprehensive Health Services at 1-877-782-5565.

Theresa A. Eagleson, Administrator

Division of Medical Programs