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Medicaid Coverage of Chiropractic Services pdf

Connecticut Medicaid (HUSKY Health)·CT · Chiropractic, Family Medicine, Internal Medicine·Provider Bulletin
Effective date
Oct 1, 2021
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid (HUSKY A, C, D) is reinstating coverage for chiropractic services effective October 1, 2021, covering only manual spinal manipulation with specific reimbursement rates and requiring primary care referrals.

Action Required

Action needed
For Connecticut providers: Enroll or re-enroll chiropractors in CMAP through www.ctdssmap.com. Update billing system to bill CPT codes 98940-98943 for chiropractic services at specified rates ($15.12-$27.22). Ensure primary care referrals are obtained and verify diagnoses match Table 20 spine-related ICD-10 codes. Obtain prior authorization for patients under 21 years or more than 5 visits per month.

Affected Billing Codes

98940
98941
98942
98943