Section 441.410 - Nonpayable ServicesNonpayable services include, but are not limited to, the following:
(A) the chiropractic treatment of diseases and pathological disorders other than those related to a neuromusculoskeletal condition (including, but not limited to, rheumatoid arthritis, muscular dystrophy, multiple sclerosis, pneumonia, and emphysema);(B) chiropractic manipulative treatment, office visits, and radiology services not personally provided by the chiropractor, in accordance with 130 CMR 450.301: Claims;(C) chiropractor services provided in settings other than the chiropractor's office, or in the case of a MassHealth CHC provider billing for chiropractor services provided on-site by a CHC-employed or contracted chiropractor, at a CHC. Nonpayable settings include, but are not limited to, inpatient or outpatient hospitals, nursing facilities, rest homes, and the member's home;(E) orthotic devices, corrective devices, and orthopedic appliances;(F) research, or experimental, unproven, or medically unnecessary procedures or treatment;(G) maintenance therapy, that is, chiropractic manipulative treatment to maintain health or prevent regression when the member is no longer suffering or presenting symptoms;(H) supportive services such as, but not limited to, nutritional counseling, educational services, and printed materials;(I) physiotherapy, physical therapy, muscular stimulation, heat packs, or massage; and(J) vitamins, minerals, food supplements, or other such supplies.Amended by Mass Register Issue 1313, eff. 12/1/2010.Amended by Mass Register Issue 1387, eff. 3/22/2019.