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NC Department of Health and Human Services
NC Division of
Medical Assistance

Chiropractic Services

DMA Clinical Policy and Programs
Phone Number (919) 855-4260
Fax (919) 733-2796

Chiropractic Service is the science of adjusting the cause of disease by realigning the spine, releasing pressure on nerves radiating from the spine to all parts of the body, allowing the nerves to carry their full quota of health current (nerve energy) from the brain to all parts of the body.  Medicaid limits chiropractic services to manual manipulation of the spine to correct subluxation that has resulted in a neuromusculoskeletal condition for which manipulation is appropriate.  Office visits are considered part of the service.  Medicaid covers X-rays in order to document the neuromusculoskeletal condition for which manual manipulation of the spine is appropriate. Medicaid allows one X-ray within a six month period without documentation of medical necessity.  Pregnant women are exempted from the X-ray requirement.  Chiropractic Services for recipients of Medicaid for Pregnant Women require prior approval.

For service requirements, coverage criteria and limitations, refer to Clinical Coverage Policy #1F - Chiropractic Services.

Medicaid Bulletins

For changes and updates to coverage criteria, billing information, and other program requirements refer to the N.C. Medicaid general and special bulletins. Ready NC Connect NC
November 5, 2009