130 C.M.R. 441.401 – Introduction

Commonwealth of Massachusetts Subchapter Number and Title Page

MassHealth

Table of Contents iv

Provider Manual Series

Transmittal Letter Date

Chiropractor Manual

CRP-24 03/22/19

4. Program Regulations

441.401: Introduction ............................................................................................................. 4-1 441.402: Definitions ................................................................................................................. 4-1 441.403: Eligible Members ..................................................................................................... 4-1 441.404: Provider Eligibility ................................................................................................... 4-2 441.405: Out-of-state Chiropractor Services ........................................................................... 4-2 441.406: Payable Services ...................................................................................................... 4-2 441.407: Service Limitations ................................................................................................. 4-3 441.408: Reporting Requirements .......................................................................................... 4-3 441.409: Radiology Services ................................................................................................... 4-3 441.410: Nonpayable Services ............................................................................................... 4-4 441.411: Prior Authorization .................................................................................................. 4-4 441.412: Record-keeping Requirements ................................................................................ 4-5 441.413: Rates of Payment ..................................................................................................... 4-5 (130 CMR 441.414 through 441.419 Reserved) 441.420: Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Services ........... 4-6

Commonwealth of Massachusetts Subchapter Number and Title Page

MassHealth 4. Program Regulations

4-1

Provider Manual Series (130 CMR 441.000)

Transmittal Letter Date

Chiropractor Manual

CRP-24 03/22/19

130 CMR 441.000 establishes the requirements for the provision and payment of chiropractor services under MassHealth. All chiropractors participating in MassHealth must comply with MassHealth regulations including, but not limited to, 130 CMR 441.000 and 130 CMR 450.000: Administrative and Billing Regulations.