048-26 Wyo. Code R. § 26-10

Current through April 27, 2019
Section 26-10 - Chiropractic Services

(a) Eligible providers. Licensed Chiropractors.

(b) Covered services.

  • (i) Rehabilitative Services furnished in response to physical debilitation caused by acute physical trauma or physical illness; and
  • (ii) Medically necessary professional services furnished by a Chiropractor.

(c) Service limitations.

  • (i) Unless pre-approved, Medicaid reimbursement for Chiropractic services shall be limited to a total of twenty (20) visits per calendar year;
  • (ii) Medicaid reimbursement for Evaluation and Management shall be limited to a total of twelve (12) visits per calendar year and is inclusive of all outpatient medical services provided by a Chiropractor, Physician, Nurse Practitioner, Ophthalmologist, Physician Assistant, and Optometrist and to the outpatient department of a hospital. The limitations of this subsection shall not apply to:
    • (A) A client who is under age twenty-one (21); or
    • (B) A pregnant woman.

048-26 Wyo. Code R. § 26-10

Amended, Eff. 12/17/2015.

Amended, Eff. 4/9/2019.