Medicaid Benefits: Chiropractor Services

This data is presented as an interactive tool that allows users to: filter by timeframe/year, select specific data columns (distributions), filter by state or geography, and view the data as a table, map, or trend chart.

2018

Location	Benefit Covered	Coverage Code	Copayment Required?	Limits on Services	Prior Approval Required	Reimbursement Methodology
United States	Yes - 24, No - 21, NR - 6	2018 data limited to CN	Yes - 13	Yes - 18	Included in "Limits on Services" for 2018	Not included in 2018 survey
Alabama	No				-	-
Alaska	No				-	-
Arizona	No				-	-
Arkansas	Yes	CN	NR	NR	-	-
California	No				-	-
Colorado	No				-	-
Connecticut	No				-	-
Delaware	Yes	CN	No	>21 medically necessary 1 visit per year, 1 x-ray per year, 20 manipulations per year	-	-
District of Columbia	No				-	-
Florida	Yes	CN	Chiropractor services, per provider or group provider, per day $1.00	Up to 24 visits per year, per recipient	-	-
Georgia	No				-	-
Hawaii	No				-	-
Idaho	Yes	CN	No	No	-	-
Illinois	NR	NR	NR	NR	-	-
Indiana	Yes	CN	No	Prior authorization for muscle testing services. 50 therapeutic physical medicine treatments/year including up to 5 office visits.	-	-
Iowa	NR	NR	NR	NR	-	-
Kansas	No				-	-
Kentucky	Yes	CN	$3	26 visits per member per year	-	-
Louisiana	No				-	-
Maine	Yes	CN	$.50 to $2/day depending on payment amount, up to $20/month	12 visits/year, limited to acute conditions with rehab potential required	-	-
Maryland	No				-	-
Massachusetts	Yes	CN	No	No	-	-
Michigan	Yes	CN	$1/visit	18 visits per year.	-	-
Minnesota	Yes	CN	$3 copay for non-preventive office visits	No	-	-
Mississippi	Yes	CN	$3 per visit	$700 max. per state fiscal year	-	-
Missouri	No				-	-
Montana	No				-	-
Nebraska	Yes	CN	$1 per visit	manual manipulation of the spine is limited to a maximum of 12 treatments per calendar year; spinal x-rays are limited to one anteroposterior and one lateral view of the entire spine or each of the following: thoracic, cervical, and lumbosacral for a client in a 12 month period; no coverage of other diagnostic or therapeutic services or supplies provides by a chiropractor	-	-
Nevada	NR	NR	NR	NR	-	-
New Hampshire	NR	NR	NR	NR	-	-
New Jersey	Yes	CN	No	No	-	-
New Mexico	No				-	-
New York	NR	NR	NR	NR	-	-
North Carolina	Yes	CN	$1 - $3 depending on the service	up to 8 visits per year	-	-
North Dakota	Yes	CN	$1 per visit	12 manipulation visits per year 2 x-rays per year	-	-
Ohio	Yes	CN	No	15 visits per benefit year without PA. Coverage of certain radiographs.	-	-
Oklahoma	No				-	-
Oregon	Yes	CN	No	All coverage is based upon the prioritized list of health services.	-	-
Pennsylvania	Yes	CN	Sliding scale based on the Medicaid fee for the service: $0.65 - $3.80	No	-	-
Rhode Island	No				-	-
South Carolina	NR	NR	NR	NR	-	-
South Dakota	Yes	CN	$1/procedure	30 visits/year	-	-
Tennessee	No				-	-
Texas	Yes	CN	No	One treatment per day and only up to 12 treatments per month	-	-
Utah	No				-	-
Vermont	Yes	CN	No	10 treatments by manual manipulation of spine per year	-	-
Virginia	No				-	-
Washington	No				-	-
West Virginia	Yes	CN	No	Coverage of chiropractic services for subluxation of the spine is limited to one treatment per day for a maximum of 12 treatments per calendar year without prior authorization. All chiropractic services beyond the initial 12 will require prior authorization. For members with the Alternative Benefits Plan there is a limit of 24 treatments per calendar year. An additional six treatments per year may be authorized if OT and PT services have not been utilized in combination with chiropractic services.	-	-
Wisconsin	Yes	CN	$0.50 - $3, depending on the service.	Prior approval required after 20 spinal manipulations per spell of illness; Spinal supports costing more than $75.00 require prior approval	-	-
Wyoming	Yes	CN	$2.45 for non - emergent	Prior authorization is required after the first 20 visits to confirm ongoing medical necessity	-	-

2012

Location	Benefit Covered	Coverage Code	Copayment Required?	Limit on services days	Prior Approval Required	Reimbursement Methodology
United States	Yes - 27 No - 29		Yes - 17 No - 10
Alabama	No		NA
Alaska	No		NA
American Samoa	No		NA
Arizona	No		NA
Arkansas	Yes	CN & MN	No	12 visits/year, 2 x-rays/year count toward $500 lab and x-ray service cap		Fee for service
California	Yes	CN & MN	$1/visit	Coverage limited to pregnant or institutionalized adults, limited to 2 services per month in combination with services by selected other practitioners		Fee for service
Colorado	No		NA
Connecticut	No		NA
Delaware	No		NA
District of Columbia	No		NA
Florida	Yes	CN & MN	$1/day	24 visits/year		Fee for service
Georgia	No		NA
Guam	No		NA
Hawaii	No		NA
Idaho	Yes	CN	$3.65/visit up to 5% of income/year across all services	6 visits/year, x-rays not covered		Fee for service
Illinois	No		NA
Indiana	Yes	CN	No	50 therapeutic physical medicine treatments/year including up to 5 office visits	Muscle-testing services	Fee for service
Iowa	Yes	CN & MN	$1/day	Treatment limited to manual manipulation of spine to correct subluxation demonstrated by x-ray		Fee for service
Kansas	No		NA
Kentucky	Yes	A, B & C - See state-specific FN	A - $2/visit	26 visits/year		Fee for service
Louisiana	No		NA
Maine	Yes	CN & MN	$.50-$2/day, depending on payment, up to $20/month	12 visits/year, limited to acute conditions, rehab potential required		Fee for service
Maryland	No		NA
Massachusetts	Yes	CN & MN	No	20 visits/year		Fee for service
Michigan	Yes	CN & MN	$1/visit	18 visits/year		Fee for service
Minnesota	Yes	A & B - See state-specific FN	$3/visit	24 visits/year		Fee for service
Mississippi	Yes	CN	$3/visit	Payments up to $700/year		Fee for service using a percentage of Medicare allowable payment as ceiling
Missouri	No		NA
Montana	No		NA
Nebraska	Yes	CN & MN	$1/visit	12 visits/year, 1 x-ray/year		Fee for service
Nevada	No		NA
New Hampshire	No		NA
New Jersey	Yes	CN & MN - See state-specific FN	No			Fee for service
New Mexico	No		NA
New York	No		NA
North Carolina	Yes	CN & MN	$2/visit	8 visits/year included in limits with other specified practitioners - limits set annually by the legislature		Fee for service
North Dakota	Yes	CN & MN	$1/visit	12 manipulation visits/year, 2 x-rays/year		Fee for service
Northern Mariana Islands	No		NA
Ohio	Yes	CN	No	15 visits/year, limited x-rays covered		Fee for service
Oklahoma	No		NA
Oregon	Yes	A - See state-specific FN	A - $3/visit	Services limited to funded conditions on the priority list		Fee for service, using Medicare Relative Value Units and a state conversion factor
Pennsylvania	Yes	CN & MN	$.65-$3.80/service, depending on payment rate	Frequency limits vary by service		Fee for service
Puerto Rico	No		NA
Rhode Island	No		NA
South Carolina	Yes	CN	$1.15/visit	8 visits/year		Fee for service
South Dakota	Yes	CN	$1/procedure	30 visits/year		Fee for service
Tennessee	No		NA
Texas	Yes	CN & MN	No	12 visits/year, limited to acute conditions or acute exacerbation of a chronic condition		Fee for service
Utah	Yes	A & B - See state-specific FN	No	Adult coverage limited to pregnant women	Yes	Fee for service
Vermont	Yes	A & B - See state-specific FN	No	10 visits/year, limited to manipulation of spine to correct subluxation		Fee for service, using Medicare Relative Value Units and a state conversion factor
U.S. Virgin Islands	Yes	CN	No	Service in public health facilities only		Fee for service
Virginia	No		NA
Washington	No		NA
West Virginia	Yes	B & C	No		Yes	Fee for service
Wisconsin	Yes	CN & MN	$.50-$3, depending on service	20 visits for manual manipulation/spell of illness, x-ray covered only at initial visit		Fee for service
Wyoming	No		NA

2010

Location	Benefit Covered	Coverage Code	Copayment Required?	Limit on services days	Prior Approval Required	Reimbursement Methodology
United States	Yes - 27 No - 29		Yes - 16 No - 11
Alabama	No		NA
Alaska	No		NA
American Samoa	No		NA
Arizona	No		NA
Arkansas	Yes	CN & MN	No	12 visits/year, 2 x-rays/year count toward $500 lab and x-ray service cap		Fee for service
California	Yes	CN & MN	$1/visit	Coverage limited to pregnant or institutionalized adults		Fee for service
Colorado	No		NA
Connecticut	No		NA
Delaware	No		NA
District of Columbia	No		NA
Florida	Yes	CN & MN	$1/day	24 visits/year		Fee for service
Georgia	No		NA
Guam	No		NA
Hawaii	No		NA
Idaho	Yes	CN	No	24 visits/year, x-rays not covered		Fee for service
Illinois	Yes	CN & MN	$2/visit			Fee for service
Indiana	Yes	CN	No	50 therapeutic physical medicine treatments/year including up to 5 office visits		Fee for service
Iowa	Yes	CN & MN	$1/day	Limited to Medicare-covered services		Fee for service
Kansas	No		NA
Kentucky	Yes	A, B & C - See state-specific FN	A - $2/visit	26 visits/year		Fee for service
Louisiana	No		NA
Maine	Yes	CN & MN	$.50-$2/day, depending on payment, up to $20/month	Limited to acute conditions, rehab potential required		Fee for service
Maryland	No		NA
Massachusetts	Yes	CN & MN	No	20 visits/year		Fee for service
Michigan	No		No
Minnesota	Yes	A & B - See state-specific FN	B - $3/visit	12 visits/year		Fee for service
Mississippi	Yes	CN	$3/visit	Payments up to $700/year		Fee for service using a percentage of Medicare allowable payment as ceiling
Missouri	No		NA
Montana	No		NA
Nebraska	Yes	CN & MN	$1/visit	12 visits/year, 1 x-ray/year		Fee for service
Nevada	No		NA
New Hampshire	No		NA
New Jersey	Yes	CN & MN - See state-specific FN	No			Fee for service
New Mexico	No		NA
New York	No		NA
North Carolina	Yes	CN & MN	$2/visit	8 visits/year included in limits with other specified practitioners - limits set annually by the legislature		Fee for service
North Dakota	Yes	CN & MN	$1/visit	12 manipulation visits/year, 2 x-rays/year		Fee for service
Northern Mariana Islands	No		NA
Ohio	Yes	CN	No	15 visits/year		Fee for service
Oklahoma	No		NA
Oregon	Yes	A - See state-specific FN	A - $3/visit	Services limited to funded conditions on the priority list		Fee for service, using Medicare Relative Value Units and a state conversion factor
Pennsylvania	Yes	CN & MN	$.50-$3/service, depending on payment rate	Frequency limits vary by service		Fee for service
Puerto Rico	No		NA
Rhode Island	No		NA
South Carolina	Yes	CN	$1/visit			Fee for service
South Dakota	Yes	CN	$1/procedure	30 visits/year		Fee for service
Tennessee	No		NA
Texas	Yes	CN & MN	No	12 visits/year		Fee for service
Utah	Yes	A & B - See state-specific FN	No	Adult coverage limited to pregnant women	Yes	Fee for service
Vermont	Yes	A & B - See state-specific FN	No	10 visits/year, limited to manipulation of spine to correct subluxation		Fee for service, using Medicare Relative Value Units and a state conversion factor
U.S. Virgin Islands	Yes	CN	No	Service in public health facilities only		Fee for service
Virginia	No		NA
Washington	No		NA
West Virginia	Yes	B & C	No		Yes	Fee for service
Wisconsin	Yes	CN & MN	$.50-$3, depending on service	20 visits for manual manipulation/spell of illness, x-ray covered only at initial visit		Fee for service
Wyoming	No		NA

2008

Location	Benefit Covered	Coverage Code	Copayment Required?	Limit on services days	Prior Approval Required	Reimbursement Methodology
United States	Yes - 29 No - 27		Yes - 17 No - 12
Alabama	No		NA
Alaska	No		NA
American Samoa	No		NA
Arizona	No		NA
Arkansas	Yes	CN & MN	No	12 visits/year		Fee for service
California	Yes	CN & MN	$1/visit	2 visits/month included in limits with other specified practitioners in any outpatient setting, x-rays not covered		Fee for service
Colorado	No		NA
Connecticut	No		NA
Delaware	No		NA
District of Columbia	No		NA
Florida	Yes	CN & MN	$1/day	24 visits/year		Fee for service
Georgia	No		NA
Guam	No		NA
Hawaii	No		NA
Idaho	Yes	CN	No	24 visits/year, x-rays not covered		Fee for service
Illinois	Yes	CN & MN	$2/visit			Fee for service
Indiana	Yes	CN	No	50 therapeutic physical medicine treatments/year including up to 5 office visits		Fee for service
Iowa	Yes	CN & MN	$1/day	Limited to Medicare covered services		Fee for service
Kansas	No		NA
Kentucky	Yes	A, B & C - See state-specific FN	A - $2/visit	26 visits/year		Fee for service
Louisiana	No		NA
Maine	Yes	CN & MN	$.50-$2/day, depending on payment, up to $20/month	Limited to acute conditions, rehabilitation potential required		Fee for service
Maryland	No		NA
Massachusetts	Yes	CN & MN	No	20 visits/year		Fee for service
Michigan	Yes	CN & MN	$1/visit	18 visits/year		Fee for service
Minnesota	Yes	A & B - See state-specific FN	$3/visit	24 visits/year		Fee for service
Mississippi	Yes	CN	$3/visit	Payments up to $700/year		Fee for service using a percentage of Medicare allowable payment as ceiling
Missouri	No		NA
Montana	No		NA
Nebraska	Yes	CN & MN	$1/visit	20 visits/year, 1 x-ray/year		Fee for service
Nevada	No		NA
New Hampshire	Yes	CN & MN	No	6 visits/year		Fee for service
New Jersey	Yes	CN & MN - See state-specific FN	No			Fee for service
New Mexico	No		NA
New York	No		NA
North Carolina	Yes	CN & MN	$2/visit	8 visits/year included in limits with other specified practitioners - limits set annually by the legislature		Fee for service
North Dakota	Yes	CN & MN	$1/visit	12 manipulation visits/year, 2 x-rays/year		Fee for service
Northern Mariana Islands	No		NA
Ohio	Yes	CN	No	15 visits/year		Fee for service
Oklahoma	No		NA
Oregon	Yes	A - See state-specific FN	A - $3/visit			Fee for service
Pennsylvania	Yes	CN & MN	$.50-$3/service, depending on payment rate	Frequency limits vary by service		Fee for service
Puerto Rico	No		NA
Rhode Island	No		NA
South Carolina	Yes	CN	$1/visit			Fee for service
South Dakota	Yes	CN	$1/procedure	30 visits/year		Fee for service
Tennessee	No		NA
Texas	Yes	CN & MN	No	12 visits/year		Fee for service
Utah	Yes	A & B - See state-specific FN	No		Yes	Fee for service
Vermont	Yes	A & B - See state-specific FN	No	10 visits/year		Fee for service
U.S. Virgin Islands	Yes	CN	No	Service in public health facilities only		Fee for service
Virginia	No		NA
Washington	No		NA
West Virginia	Yes	B &C	No		Yes	Fee for service
Wisconsin	Yes	CN & MN	$.50-$3, depending on service	20 visits for manual manipulation/spell of illness, x-ray covered only at initial visit		Fee for service
Wyoming	No		NA

2006

Location	Benefit Covered	Coverage Code	Copayment Required?	Limit on services days	Prior Approval Required	Reimbursement Methodology
United States	Yes - 27 No - 29		Yes - 17 No - 10
Alabama	No		NA
Alaska	No		NA
American Samoa	No		NA
Arizona	No		NA
Arkansas	Yes	CN & MN	No	12 visits/year		Fee for service
California	Yes	CN & MN	$1/visit	2 visits/month included in limits with other specified practitioners in any outpatient setting, x-rays not covered		Fee for service
Colorado	No		NA
Connecticut	No		NA
Delaware	No		NA
District of Columbia	No		NA
Florida	Yes	CN & MN	$1/day	24 visits/year		Fee for service
Georgia	No		NA
Guam	No		NA
Hawaii	No		NA
Idaho	Yes	CN	No	24 visits/year, x-rays not covered		Fee for service
Illinois	Yes	CN & MN	$2/visit			Fee for service
Indiana	Yes	CN	No	50 therapeutic physical medicine treatments/year including up to 5 office visits		Fee for service
Iowa	Yes	CN & MN	$1/day	Limited to Medicare covered services		Fee for service
Kansas	No		NA
Kentucky	Yes	A, B & C - See state-specific FN	A - $2/visit	26 visits/year		Fee for service
Louisiana	No		NA
Maine	Yes	CN & MN	$.50-$2/day, depending on payment, up to $20/month	Limited to acute conditions, rehabilitation potential required		Fee for service
Maryland	No		NA
Massachusetts	Yes	CN & MN	No	20 visits/year		Fee for service
Michigan	Yes	CN & MN	$1/visit	18 visits/year		Fee for service
Minnesota	Yes	A & B - See state-specific FN	$3/visit	24 visits/year		Fee for service
Mississippi	Yes	CN	$3/visit	Payments up to $700/year		Fee for service using a percentage of Medicare allowable payment as ceiling
Missouri	No		NA
Montana	No		NA
Nebraska	Yes	CN & MN	$1/visit	20 visits/year, 1 x-ray/year		Fee for service
Nevada	No		NA
New Hampshire	Yes	CN & MN	No	6 visits/year		Fee for service
New Jersey	Yes	CN & MN - See state-specific FN	No			Fee for service
New Mexico	No		NA
New York	No		NA
North Carolina	Yes	CN & MN	$2/visit	24 ambulatory visits/year included in limits with other specified practitioners		Fee for service
North Dakota	Yes	CN & MN	$1/visit	12 manipulation visits/year, 2 x-rays/year		Fee for service
Northern Mariana Islands	No		NA
Ohio	No		NA
Oklahoma	No		NA
Oregon	Yes	A - See state-specific FN	A - $3/visit			Fee for service
Pennsylvania	Yes	CN & MN	$.50-$3/service, depending on payment	Frequency limits vary by service		Fee for service
Puerto Rico	No		NA
Rhode Island	No		NA
South Carolina	Yes	CN	$1/visit			Fee for service
South Dakota	Yes	CN	$1/procedure	30 visits/year		Fee for service
Tennessee	No		NA
Texas	Yes	CN & MN	No	12 visits/year		Fee for service
Utah	Yes	A & B - See state-specific FN	No	B - rehab potential required, 6 visits/year included in limits with therapy providers	Yes	Contracted price
Vermont	No		NA
U.S. Virgin Islands	Yes	CN	No	Service in public health facilities only		Fee for service
Virginia	No		NA
Washington	No		NA
West Virginia	Yes	CN & MN	No	12 visits/year		Fee for service
Wisconsin	Yes	CN & MN	$.50-$3, depending on service	20 visits for manual manipulation/spell of illness, x-ray covered only at initial visit		Fee for service
Wyoming	No		NA

2004

Location	Benefit Covered	Coverage Code	Copayment Required?	Limit on services days	Prior Approval Required	Reimbursement Methodology
United States	Yes - 25 No - 31		Yes - 16 No - 9
Alabama	No		NA
Alaska	No		NA
American Samoa	No		NA
Arizona	No		NA
Arkansas	Yes	CN & MN	No	12 visits/year		Fee for service
California	Yes	CN & MN	$1/visit	2 visits/month included in limits with other specified practitioners in any outpatient setting, x-rays not covered		Fee for service
Colorado	No		NA
Connecticut	No		NA
Delaware	No		NA
District of Columbia	No		NA
Florida	Yes	CN & MN	$1/day	24 visits/year		Fee for service
Georgia	No		NA
Guam	No		NA
Hawaii	No		NA
Idaho	Yes	CN	No	24 visits/year, x-rays not covered		Fee for service
Illinois	Yes	CN & MN	$2/visit			Fee for service
Indiana	Yes	CN	No	50 therapeutic physical medicine treatments/year including up to 5 office visits		Fee for service
Iowa	Yes	CN & MN	$1/day	Limited to Medicare covered services		Fee for service
Kansas	No		NA
Kentucky	Yes	CN & MN	$2/visit			Fee for service
Louisiana	No		NA
Maine	Yes	CN & MN	$.50-$2/day, depending on payment, up to $20/month	Rehabilitation potential required		Fee for service
Maryland	No		NA
Massachusetts	No		NA
Michigan	Yes	CN & MN	$1/visit	18 visits/year		Fee for service
Minnesota	Yes	A & B - See state-specific FN	A - $3/visit	24 visits/year		Fee for service
Mississippi	Yes	CN	$3/visit	Payments up to $700/year		Fee for service using a percentage of Medicare allowable payment as ceiling
Missouri	No		NA
Montana	No		NA
Nebraska	Yes	CN & MN	$1/visit	20 visits/year, 1 x-ray/year		Fee for service
Nevada	No		NA
New Hampshire	Yes	CN & MN	No	6 visits/year		Fee for service
New Jersey	Yes	CN & MN - See state-specific FN	No			Fee for service
New Mexico	No		NA
New York	No		NA
North Carolina	Yes	CN & MN	$1/visit	24 ambulatory visits/year included in limits with other specified practitioners		Fee for service
North Dakota	Yes	CN & MN	$1/visit	12 manipulation visits/year, 2 x-rays/year		Fee for service
Northern Mariana Islands	No		NA
Ohio	No		NA
Oklahoma	No		NA
Oregon	Yes	A - See state-specific FN	A - $3/visit			Fee for service
Pennsylvania	Yes	CN & MN	No	1 visit/day - limited to manipulations only		Fee for service
Puerto Rico	No		NA
Rhode Island	No		NA
South Carolina	Yes	CN	$1/visit			Fee for service
South Dakota	Yes	CN	$.50/service	30 visits/year		Fee for service
Tennessee	No		NA
Texas	No		NA
Utah	Yes	A, B & C - See state-specific FN	No	B & C - rehab potential required, 16 visits/year included in limits with therapy providers	Yes	Fee for service or contracted price
Vermont	No		NA
U.S. Virgin Islands	Yes	CN	No	Service in public health facilities only		Fee for service
Virginia	No		NA
Washington	No		NA
West Virginia	Yes	CN & MN	No	12 visits/year		Fee for service
Wisconsin	Yes	CN & MN	$.50-$3, depending on service	20 visits for manual manipulation/spell of illness, x-ray covered only at initial visit		Fee for service
Wyoming	No		NA

2003

Location	Benefit Covered	Coverage Code	Copayment Required?	Limit on services days	Reimbursement Methodology
United States	Yes - 28 No - 28		Yes - 15 No - 13
Alabama	No		NA
Alaska	No		NA
American Samoa	No		NA
Arizona	No		NA
Arkansas	Yes	CN & MN	No	12 visits/year	Fee for service
California	Yes	CN & MN	$1/visit	2 visits/month included in limits with other specified practitioners in any outpatient setting, x-rays not covered	Fee for service
Colorado	No		NA
Connecticut	Yes	CN & MN	No	X-rays not covered	Fee for service
Delaware	No		NA
District of Columbia	No		NA
Florida	Yes	CN & MN	$1/day	24 visits/year	Fee for service
Georgia	No		NA
Guam	No		NA
Hawaii	No		NA
Idaho	Yes	CN	No	24 visits/year, x-rays not covered	Fee for service
Illinois	Yes	CN & MN	$2/visit		Fee for service
Indiana	Yes	CN	No	50 therapeutic physical medicine treatments/year including up to 5 office visits	Fee for service
Iowa	Yes	CN & MN	$1/day	Limited to Medicare covered services	Fee for service
Kansas	No		NA
Kentucky	Yes	CN & MN	No		Fee for service
Louisiana	No		NA
Maine	Yes	CN & MN	$.50-$2/day, depending on payment, up to $20/month		Fee for service
Maryland	No		NA
Massachusetts	No		NA
Michigan	Yes	CN & MN	$1/visit	18 visits/year	Fee for service
Minnesota	Yes	A & B - See state-specific FN	A - $3/visit	24 visits/year	Fee for service
Mississippi	Yes	CN	$3/visit	Payments up to $700/year	Fee for service using a percentage of Medicare allowable payment as ceiling
Missouri	No		NA
Montana	No		NA
Nebraska	Yes	CN & MN	$1/visit	18 visits/5 months then 1/month after, 1 visit/day, 1 x-ray/year	Fee for service
Nevada	No		NA
New Hampshire	Yes	CN & MN	No	6 visits/year	Fee for service
New Jersey	Yes	CN & MN - See state-specific FN	No		Fee for service
New Mexico	No		NA
New York	No		NA
North Carolina	Yes	CN & MN	$1/visit	24 ambulatory visits/year included in limits with other specified practitioners	Fee for service
North Dakota	Yes	CN & MN	$1/visit	24 manipulations/year, 8 x-rays/year	Fee for service
Northern Mariana Islands	No		NA
Ohio	Yes	CN	No	4 visits/month (up to 10 if services also provided on outpatient hospital basis) and no more than 20 total/year, services included in limits with other specified providers	Fee for service
Oklahoma	No		NA
Oregon	Yes	CN & MN	$3/visit		Fee for service
Pennsylvania	Yes	CN & MN	No	1 visit/day - limited to manipulations only	Fee for service
Puerto Rico	No		NA
Rhode Island	No		NA
South Carolina	Yes	CN	No		Fee for service
South Dakota	Yes	CN	$.50/service	30 visits/year	Fee for service
Tennessee	No		NA
Texas	Yes	CN & MN	No	12 visits/year	Fee for service
Utah	Yes	A, B & C - See state specific FN	B - $3/visit, C - $5/visit	B & C - rehab potential required, 16 visits/year included in limits with therapy providers	Fee for service
Vermont	No		NA
U.S. Virgin Islands	Yes	CN	No	Service in public health facilities only	Fee for service
Virginia	No		NA
Washington	No		NA
West Virginia	Yes	CN & MN	No	12 visits/year	Fee for service
Wisconsin	Yes	CN & MN	$.50-$3, depending on service	20 visits for manual manipulation/spell of illness, x-ray covered only at initial visit	Fee for service
Wyoming	No		NA

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Medicaid Benefits: Chiropractor Services

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