- (A) The MassHealth agency pays for medically necessary acupuncture for the treatment of pain and for use for detoxification as described in 130 CMR 418.406(D)(4): Acupuncture Detoxification. Services must address the patient’s condition and if no clinical benefit is appreciated after four sessions, then the treatment plan must be re-evaluated. Further acupuncture treatment is not considered medically necessary if the patient does not demonstrate meaningful improvement in symptoms.
- (B) The MassHealth agency will pay for one office visit per member every four weeks. A provider may bill the MassHealth agency for both an office visit and acupuncture treatment rendered to a member on the same day in accordance with these regulations.
Commonwealth of Massachusetts Subchapter Number and Title Page
MassHealth 1. Introduction
4-3
Provider Manual Series (130 CMR 447.000)
Transmittal Letter Date
Acupuncture Services Manual
ACU-1 01/21/22