Chiropractic Medicaid Expansion
In 2016, SecureCare and the Nebraska Chiropractic Physicians Association took action to pursue Medicaid expansion for chiropractic benefits in Nebraska. The process began by researching current benefits across the country which found 30 states had some level of coverage and twenty states had zero coverage. Eleven states had coverage exceeding Nebraska’s, which at that time included 12 annual Chiropractic Manipulative Therapy (CMT) visits for adults and 18 CMT visits per diagnosis for children. There was also coverage for x-rays and a small payment for the initial evaluation.
After initial meetings with state leaders, SecureCare developed an evidence-based presentation that included important topics related to the use of chiropractic services. Simultaneously, SecureCare began conversations with Nebraska State Senators regarding the expansion of chiropractic benefits.
Several years later a legislative bill was introduced, and the process moved forward. Legislative support was a major factor in expanding chiropractic Medicaid benefits for Nebraska. These now include the following:
- Medically necessary treatment for patients of all ages
- The following CPT codes are now covered:
- E/M: 99201, 99202, 99203, 99211, 99212, 99213
- Radiology: 72040, 72070, 72081, 72082, 72100
- CMT: 98940, 98941, 98942
- Therapy: 97012, 97014, 97032, 97035, 97110, 97112, 97140, 97530
In all, it took four years to complete this process. SecureCare is hopeful that the re-telling of our success will spur other states to take similar steps for expansion. SecureCare is happy to share our presentations, library of studies and give any guidance that may be needed. Further expansion in this area will only serve to benefit the entire chiropractic profession.