A copy of the clinical review record must be kept on file by the chiropractor and be made available upon request. Medicaid does not cover an x-ray ordered solely for the purpose of demonstrating a subluxation of the spine. Any charges incurred for the chiropractic x-ray must be borne by the recipient, recipient's family, friends or such other community resources as may be available. Chiropractic services for recipients under the age of 12 require prior authorization from the Medical Review Unit, Medicaid Division, Waterbury. Clinical review data pertinent to the need for treatment must be submitted in writing.
Coverage is limited to ten treatments per patient per calendar year.
Exceptional or unusual circumstances may justify a request by the chiropractor for additional coverage. Requests must contain full clinical data, x-rays or other documentation as may be required by the Medicaid Medical Review Unit, Medicaid Division, Waterbury, to evaluate the medical necessity for continued care. Payment for chiropractic treatment will be made at the lower of the actual charge or the Medicaid rate on file.