Statutes, codes, and regulations
Colorado Administrative Code
Department 2505 - Department of Health Care Policy and FinancingDivision 2505 - Medical Services Board (Volume 8; Medical Assistance, Children's Health Plan)
Rule 10 CCR 2505-10-8.7000 - CREATION OF MEDICAL ASSISTANCE ACT SECTION 7.000 CONCERNING CASE MANAGEMENT, MEMBER RIGHTS AND RESPONSIBILITIES HOME AND COMMUNITY BASED SERVICES AND PROVIDER AGENCY REQUIREMENTS
Section 10 CCR 2505-10-8.7502 - Acupuncture

10 Colo. Code Regs. § 2505-10-8.7502

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Current through Register Vol. 47, No. 24, December 25, 2024
Section 10 CCR 2505-10-8.7502 - Acupuncture
8.7502.AAcupuncture Eligibility
1. Acupuncture is a covered benefit available to Members enrolled in the HCBS Complementary and Integrative Health Waiver.
8.7502.BAcupuncture Definition
1. Acupuncture means the insertion of needles and/or manual, mechanical, thermal, electrical, and electromagnetic treatment to stimulate specific anatomical tissues for the promotion, maintenance and restoration of health and prevention of disease both physiological and psychological. During an acupuncture treatment, dietary advice and therapeutic exercises may be recommended in support of the treatment.
8.7502.CAcupuncture Inclusions
1. Acupuncture is used for treating conditions or symptoms related to the Member's qualifying condition and Inability to Independently Ambulate.
2. Members receiving acupuncture and other complementary and integrative health services shall be asked to participate in an independent evaluation to determine the effectiveness of the services.
3. Acupuncture shall be provided in the clinic or office of a licensed acupuncturist, an approved outpatient setting, or in the Member's residence.
8.7502.DAcupuncture Exclusions and Limitations
1. Acupuncture shall be limited to the Member's assessed need for services as identified and documented in the Person-Centered Support Plan.
2. A maximum of 408 combined units of Acupuncture, Chiropractic, and Massage Therapy Waiver Services may be covered as a benefit during the Person-Centered Support Plan year.
8.7502.EAcupuncture Service Provider Agency Requirements
1. Acupuncture providers shall be licensed pursuant to § 12-200-101 et seq (C.R.S) and have at least 1 year of experience practicing Acupuncture at a rate of 520 hours per year; OR 1 year of experience working with individuals with paralysis or other long term physical disabilities.
2. Acupuncture Provider Agencies shall:
a. Determine the appropriate modality, amount, scope, and duration of acupuncture within the established limits as described at Section 8.7502.D.2.
b. Recommend only services that are necessary and appropriate in a plan of care that the Provider Agency will submit to the Member's Case Manager.
c. Provide only services in accordance with the Member's prior authorized units.

10 CCR 2505-10-8.7502

47 CR 03, February 10, 2024, effective 3/16/2024