Mandated coverage for accupuncture treatments administered by a physician report of the Special Advisory Commission on Mandated Health Insurance Benefits to the Governor and the General Assembly of Virginia : House Bill 2452, 1997. by Virginia. Special Advisory Commission on Mandated Health Insurance Benefits.

Cover of: Mandated coverage for accupuncture treatments administered by a physician | Virginia. Special Advisory Commission on Mandated Health Insurance Benefits.

Published by Commonwealth of Virginia in Richmond .

Written in English

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  • Virginia.


  • Acupuncture,
  • Insurance, Health -- Law and legislation -- Virginia

Edition Notes

Book details

SeriesHouse document ;, no. 32, House document (Virginia. General Assembly. House of Delegates) ;, 1998, no. 32.
LC ClassificationsJ87 .V9 1998c, KFV2587.H4 .V9 1998c
The Physical Object
Pagination12 p. ;
Number of Pages12
ID Numbers
Open LibraryOL442941M
LC Control Number98155048

Download Mandated coverage for accupuncture treatments administered by a physician

Acupuncture must be given by a doctor, or by another health care provider (like a nurse practitioner or physician assistant) who has both of these: A masters or doctoral level degree in acupuncture or Oriental Medicine from a school accredited by the Accreditation Commission on Acupuncture and Oriental Medicine.

Under the new Medicare coverage, physicians (as defined in (r)(1)) can administer acupuncture “in accordance with applicable state requirements.” If a non-physician (i.e. physician assistants, nurse practitioners/clinical nurse specialists (as identified in (aa)(5)), and “auxiliary personnel”) will administer acupuncture, he or Author: Edward Vernon.

COVERAGE Acupuncture is a covered benefit for those groups who have purchased a plan with an acupuncture benefit. Please refer to the appropriate Benefit Booklet, Evidence of Coverage, or Subscriber Agreement for applicable acupuncture benefits/coverage.

Rhode Island-mandated benefits do not apply to P FEHBP, and Mandated coverage for accupuncture treatments administered by a physician book Advantage plans.

COVERAGE Acupuncture is a covered benefit for those groups who have purchased the acupuncture rider. Please refer to the appropriate Member Certificate, Subscriber Agreement, or Benefit Booklet for applicable acupuncture benefits/coverage.

Rhode Island mandated benefits do not apply to P FEHBP, and Medicare Advantage plans. Self. See National Coverage Determination section for specific coverage criteria.

Nationally Non-Covered Indications. Medicare reimbursement for acupuncture, as an anesthetic, or as an analgesic or for other therapeutic purposes, may not be made unless the specific indication is excepted. No more than 20 acupuncture treatments may be administered annually.

Treatment must be discontinued if the patient is not improving or is regressing. Diagnosis M Low Back Pain Physicians (as defined in (r)(1)) may furnish acupuncture in accordance with applicable state requirements.

Medical professionals may prescribe acupuncture to treat a variety of symptoms. It’s popular among people who have chronic back, neck or knee pain. Acupuncture can also help prevent nausea associated with chemotherapy and surgery.

Not all health plans cover acupuncture. Those that do vary in how and when they cover treatment.* Find an. Heuvel, ; Yang, ).

A guideline by the American College of Physicians on treatments (including acupuncture) for major depressive disorder in adults issued strong evidence-based recommendations for cognitive behavioral therapy and antidepressants, but made no specific recommendation for acupuncture (Qaseem, ). The National Coverage Determination (NCD) for Acupuncture (), issued in Maystates that Medicare reimbursement for acupuncture, as an anesthetic or as an analgesic, or for other therapeutic purposes, may not be made.

Meet the requirements for licensure as a doctor of acupuncture set forth in the Rules and Regulations for Licensing Doctors of Acupuncture and Acupuncture Assistants promulgated by the Department of Health; or Successfully complete a course offered to physicians that meets the requirements set forth in these regulations and includes.

References Other Works Consulted. Acupuncture (). Medical Letter on Drugs and Therapeutics, 48(): 38– Cui CL, et al. Acupuncture for the treatment of drug addiction. Medicare does not cover other forms of alternative medicine, such as naturopathy, homeopathy or — except for medically necessary spinal manipulation — chiropractic care.

Medicare Advantage private insurance plans may include broader coverage for acupuncture. Check with your Medicare Advantage plan provider about specific treatments.

Insurance companies should not be required by law to cover acupuncture treatment; and Licensure of lay acupuncturists should be phased out. Theory and Practices. Acupuncture is based on ancient Chinese medical philosophy, which views illness quite differently than does contemporary science [1].

As of January 21st, the Center for Medicaid and Medicare Services (CMS) announced that acupuncture to treat low back pain will now be a covered benefit under section (a)(1)(A) of the Social Security Act.

The benefit will encompass up to 12 visits within 90 days for covered Medicare beneficiaries if they meet the following criteria. action against the license of any physician pursuant to § (a), Ala.

Code () for a physician to offer or administer acupuncture treatment except in compliance with the requirements set forth by the Federal Food and Drug Administration in Federal Register Vol. 88, No. 46, p (March 9, ). In our survey, most patients (45%) undergoing acupuncture treatment required fewer than 10 sessions, and a smaller per cent of patients (22%) required more than 10 sessions of acupuncture treatment.

It is significant that 87% of these patients reported to their referral physicians a somewhat or very effective outcome from acupuncture treatment.

Given the heterogeneity of theory and practice, challenges of conducting randomized controlled trials (RCTs) of acupuncture include effective blinding, adequacy of treatment “dose,” and. Acupuncture is eligible for FSA, HSA and HRA reimbursement if required for the treatment, cure, diagnosis, mitigation or prevention of a disease or illness, but some benefits administrators may require a Letter of Medical Necessity (LMN) from a physician.

CM&F's acupuncture professional liability insurance policies are comprehensive, portable, and flexible - offering 24/7 coverage that is inclusive of any services outlined within your scope of practice according to relevant state laws, as outlined within your policy agreement.

Requests for coverage of an alternative therapy are reviewed on a case-by-case basis by the local Cigna HealthCare physician-medical director to determine if the treatment has been proven scientifically to be effective (i.e.

supported by peer review literature) and whether. Thank you for the information supplied regarding an Acupuncture Physician. I’m a new resident in Clearwater Florida and would like the services of an Acupuncture Physician. Is there an organization in Florida that lists them.

I cannot find any information on Acupuncture in Florida including insurance coverage. In the case of a patient with a claim under Chapter or of the Revised Code, a supervising physician or chiropractor is eligible to be reimbursed for referring the patient to an oriental medicine practitioner or acupuncturist or for prescribing oriental medicine or acupuncture for the patient only if the physician has attained.

Acupuncture – the ancient Chinese practice of using carefully placed needles to treat a variety of maladies – has moved into the modern medical mainstream in recent years, with more than 10 million treatments administered in the U.S. every year. Insurance Coverage for Contraception Is Required- The Obama administration requires health plans to cover government-approved contraceptives for women.- published August 2, by NY Times.

Mandated Coverage: Several Blues Plans Face Scrutiny Over Refusal to Cover Cost of Autism Treatment - BCBS Plans Report, Aug Finally, the announcement states, “Auxiliary personnel furnishing acupuncture must be under the appropriate level of supervision of a physician, physician assistant, or nurse practitioner/clinical nurse specialist required by our regulations at 42 CFR §§ and ”.

Apart from our community acupuncture clinic, some of our acupuncturists offer private acupuncture treatments. Not all plans within any insurance company will provide coverage for acupuncture benefits.

We understand that you may have already checked your insurance coverage, but all insurance benefits must be verified by our staff prior to treatment.

Please Note: Acupuncture treatments performed at Two Hands Chiropractic will be administered by Dr. Shanna Fritsch, an Illinois licensed Chiropractic Physician with a certification in acupuncture.

If acupuncture is not covered by your insurance you are responsible for payment in full. Acupuncture services are $61 per treatment.

During a private appointment the acupuncture physician can create a well structured treatment plan specific to your condition. Depending on your unique situation, you may receive treatments weekly for more acute health concerns or as little as once a month to support overall wellness.

With the increasing prevalence of alternative therapy and holistic healing, acupuncture is a thriving industry. Nearly 70 percent of boomers have tried some type of alternative therapy, and acupuncture's popularity — for things as diverse as chemotherapy-induced illness to chronic headaches to arthritis — is on the rise.

Many have found it to be an effective alternative to pain medication. In this early example of acupuncture fraud, the U.S. Attorney’s Office for the Middle District of Florida prosecuted the owners, operators and physician employees of six acupuncture clinics alleged to have fraudulently billed the Medicare program from throughfor non-covered acupuncture treatment services.

Acupuncture is based on the belief that qi (vital energy) flows through the body along a network of paths, called is said to affect a person’s spiritual, emotional, mental, and physical ing to TCM, qi has two forces, yin and and yang are opposite forces that work together to form a whole.

Non-auricular acupuncture points can also be used as part of an individualized acupuncture treatment plan when performed by a registered acupuncturist.

Acupuncture may be performed as an adjunct therapy to any treatment modality in any setting. Counseling, 12step programs, relapse prevention, referral for supportive services, and life skills.

Acupuncture Less than half of the insurance companies surveyed (17/43) cover acupuncture with two companies looking into adding the service and one company offering it at a discount. Among the 17 plans, 4 require that acupuncture be per-formed or supervised by a physician while the remaining 13 plans cover the procedure by a li-censed.

In Australia, where physicians may receive state reimbursement for delivering acupuncture treatments, trainings required for these physicians to use the protected title of ‘Registered Acupuncturist’ adhere to the hour WHO guideline, and include a. Insurance coverage would open up widespread access to this area of medicine.

For the profession as a whole, insurance coverage also appears to be a good thing, at first blush. Insurance coverage would seem to signify acceptance by large players in the mainstream medical system and would go a long ways towards truly integrating the two systems. In Germany the reimbursement of an acupuncture-treatment has been restricted by decision of the Federal Committee of Physicians and Health Insurance Funds, dating from Octo Now, reimbursements of acupuncture are only given for the indications migraine, chronic tension headache, chronic unspecific low back pain, cox- and.

These physicians are trained in both modern medicine and acupuncture, giving them the ability to examine a problem, make a diagnosis, and offer treatment options from both modern medical and acupuncture perspectives.

That means their patients get the best of both worlds: proven, ancient healing techniques and cutting-edge, modern medicine. Today, acupuncture is practiced more and more by patients and physicians.

Acupuncture treatments can be given at the same time other techniques are being used, such as conventional Western medicine, osteopathic or chiropractic adjustments, and homeopathic ornaturopathic prescriptions.

Wide-ranging and evidence-based, Complementary and Integrative Treatments in Psychiatric Practice is a clinician's guide to nutrients, plant-based medicines, mind-body practices, neurotherapy, neurostimulation, equine therapy, attention training, visual management, and other approaches in the treatment of five major DSM-5 categories -- depressive disorders, anxiety disorders, bipolar and Reviews: 7.

Some acupuncture treatments are covered by insurance and the Fifth Avenue Acupuncture & Herbs Center accepts insurance for acupuncture treatments from many major insurance companies. The Name on The Insurance Coverage (and your name if different).

Your Date of Birth. A treatment that works for one person may not work for another person, even with the same condition. Ask your physician or call the American Academy of Medical Acupuncture () for referrals to licensed acupuncturists Check with your benefits administrator regarding coverage for acupuncture under your health plan.Number: Policy.

Note: Most Aetna plans limit coverage of acupuncture to when it is used in a lieu of other anesthesia for a surgical or dental procedure covered under the health benefits plan, and the health care provider administering it is a legally qualified physician practicing within the scope of his/her other plans may extend coverage of acupuncture for medically.Acupuncture treatments can be given at the same time other techniques are being used, such as conventional Western medicine,osteopathic or chiropractic adjustments, and homeopathic ornaturopathic prescriptions.

It is important that your physician-acupuncturist know everything that you are doing, so he or she can help you get the most benefit.

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