Medicaid FAQs Q: Does Medicaid cover chiropractic or physical therapy? A: States are required to cover certain benefits and others are optional. Chiropractic coverage is not a mandatory benefit but rather is considered optional. To learn what your state covers, contact your state Medicaid agency; a list of state agencies can be found at www.Medicaid.gov Q:…
Medicaid Coverage Resources
Status of Medicaid Medicaid is truly a moving target when tracking down resources. Often, after a great deal of effort, you will find chiropractic is excluded from a patient’s benefits. To avoid problems, locate the status of Medicaid in your state first to verify coverage. We have outlined some of the steps below for locating…
Medicaid Provider Enrollment & Revalidation
Medicaid is similar to Medicare in the sense that a provider must enroll* with the (in this case state) program as a provider to be able to bill Medicaid patients. This can be confusing when a payer with which your clinic is contracted (e.g., Anthem or UHC) manages the Medicaid coverage in your state. You…
What is Medicaid
Medicaid provides health coverage to around 80 million Americans including eligible low-income adults, children, pregnant women, elderly adults, and people with disabilities. Medicaid is administered by the states in accordance with federal requirements. State and Federal Governments fund the program jointly. The Rapid Tutorial titled What is Medicaid provides an overview of the basics of…
Medicare Basics Reference Documents
Download Reference Documents The Medicare beneficiary’s ID number changed in recent years. Medicare has provided a dedicated site page that outlines the important aspects of why the identifier changed and how to recognize and use this important number associated with your patient. You can find this information here. The reference document listed on this page illustrates…
Medicare Participation and Non-Participation
Enrollment vs. Participation Participation in the Medicare program has nothing to do with Medicare enrollment. All chiropractors that treat Medicare patients must be enrolled in the Medicare program. Enrollment requires the completion of the CMS Form 855—the “Medicare Enrollment Application (See Fig. 1).” An annual open enrollment period held the last few months of the…