As required by House Bill (HB) 136 as passed by the 134th General Assembly, Medicaid coverage is being established for evaluation and management (E&M) services performed by a chiropractor.
Effective June 13, 2022, the Ohio Department of Medicaid (ODM) will cover low- and moderate-level E&M services represented by CPT® codes 99202, 99203, 99211, 99212 and 99213 when performed by a chiropractor (Provider Type 27). ODM will cover 3 E&M services per benefit year. These changes will be reflected in updates to Ohio Administrative Code (OAC) rule 5160-8-11, entitled “Spinal manipulation and related diagnostic imaging services,” currently targeted to be effective Oct. 1, 2022.
This information is being distributed at the request of the Ohio Department of Medicaid.