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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 2505-10-8.7513 - Chiropractic

10 Colo. Code Regs. § 2505-10-8.7513

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Current through Register Vol. 47, No. 24, December 25, 2024
Section 10 CCR 2505-10-8.7513 - Chiropractic
8.7513.AChiropractic Eligibility
1. Chiropractic is a covered benefit available to Members enrolled in the HCBS Complementary and Integrative Health Waiver.
8.7513.BChiropractic Definition
1. Chiropractic means the use of manual adjustments (manipulation or mobilization) of the spine or other parts of the body with the goal of correcting and/or improving alignment, neurological function, and other musculoskeletal problems. During a chiropractic treatment, nutrition, exercise, and rehabilitative therapies may be recommended in support of the adjustment.
8.7513.CChiropractic Inclusions
1. Chiropractic may be utilized to treat conditions or symptoms related to the Member's qualifying condition and Inability to Independently Ambulate.
2. Members receiving Chiropractic services, or other complementary and integrative health services shall be asked to participate in an independent evaluation to determine the effectiveness of the services.
3. Chiropractic shall be provided in the office or clinic of a licensed chiropractor, an approved outpatient setting, or in the Member's residence.
8.7513.DChiropractic Exclusions and Limitations
1. Chiropractic 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 support plan year.
8.7513.EChiropractic Service Provider Agency Requirements
1. Chiropractors shall be licensed by the State Board of Chiropractic pursuant to § 12-215-101 et seq (C.R.S.) and have at least one year experience practicing Chiropractic at a rate of 520 hours per year; OR one year of experience working with individuals with paralysis or other long term physical disabilities.
2. Chiropractic Provider Agencies shall:
a. Determine the appropriate modality, amount, scope, and duration of chiropractic service within the established limits described at Section 8.7513.D.2.
b. Recommend only services that are necessary and appropriate in a care plan.
c. Provide only services in accordance with the Member's prior authorized units.

10 CCR 2505-10-8.7513

47 CR 03, February 10, 2024, effective 3/16/2024
47 CR 21, November 10, 2024, effective 11/30/2024