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MedicaidCoverageMedium impact

Craniosacral Therapy - MEDICAID - OKLAHOMA (New)

Humana·OK · Physical Therapy, Pain Management·Medicaid
Effective date
Not stated
We identified it
Jul 3, 2026
Days to comply

Summary

Oklahoma Medicaid has issued a new policy defining craniosacral therapy as a complementary and alternative medicine service. The policy describes the technique and its theoretical applications but does not specify coverage status, billing codes, prior authorization requirements, or reimbursement rates. Billing team must clarify coverage determination and obtain specific coding/authorization guidance before processing claims.

Action Required

Action needed
Immediately: Billing team must contact Oklahoma Medicaid (or review the full policy document beyond this summary) to determine: (1) Whether craniosacral therapy is covered or non-covered under this policy, (2) Which CPT or HCPCS codes apply to this service, (3) Whether prior authorization is required, and (4) The effective date of coverage. Do not bill craniosacral therapy claims until coverage status and billing codes are confirmed. Failure to clarify coverage will result in claim denials and potential compliance issues.