Administrative Rules of the State of Montana

37.83.812 QUALIFIED MEDICARE BENEFICIARIES, PAYMENT FOR CHIROPRACTIC SERVICES AS MEDICARE SERVICES NOT COVERED BY FULL MEDICAID

(1) Chiropractic services are a medicaid covered service for a qualified medicare beneficiary when the subluxation is demonstrated by x-ray to exist. The x-ray must be taken and interpreted by a doctor of medicine or osteopathy.

(2) Reimbursement for chiropractic services is the lowest of:

(a) the provider's submitted charge; or

(b) the medicaid fee for the service.

(3) These requirements are in addition to those in Title 37, chapter 85, subchapter 4 of the Administrative Rules of Montana (ARM) .

History: Sec. 53-2-201 and 53-6-113, MCA; IMP, Sec. 53-6-101 and 53-6-131, MCA; NEW, 1989 MAR p. 835, Eff. 6/30/89; TRANS, from SRS, 2000 MAR p. 197; AMD, 2001 MAR p. 1476, Eff. 8/10/01; AMD, 2001 MAR p. 2156, Eff. 10/26/01.