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