Covered Services
Manual Manipulations of the Spine
Wisconsin Medicaid covers manual manipulations of the spine to treat a spinal subluxation as stated in HFS 107.15(2), Wis. Admin. Code. Wisconsin Medicaid reimburses for manual manipulations of the spine only when the recipients diagnosis is subluxation. Wisconsin Medicaid does not cover manipulations for strains and sprains.
The initial visit and 20 manipulations per provider per spell of illness (SOI) do not require prior authorization (PA). Prior authorization is needed for more than 20 manipulations per SOI. Refer to the Prior Authorization chapter of this handbook for further PA information.
Wisconsin Medicaid covers one spinal adjustment per date of service per recipient.
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Chiropractic Services Handbook
PHC 1306, October 2004