(1) The medicaid agency pays only for chiropractic services:
(a) For clients who are:
(i) Under age twenty-one; and
(ii) Referred by a screening provider under the healthy kids/early and periodic screening, diagnosis, and treatment (EPSDT) program.
(b) That are:
(i) Medically necessary under WAC
182-500-0070, safe, effective, and not experimental;
(ii) Provided by a chiropractor licensed in the state where services are provided; and
(iii) Within the scope of the chiropractor's license.
(c) Limited to:
(i) Chiropractic manipulative treatments of the spine; and
(ii) X-rays of the spine.
(2) Chiropractic services are paid according to fees established by the agency using methodology set out in WAC
182-531-1850.
[Statutory Authority: RCW
41.05.021 and
41.05.160. WSR 15-10-018, § 182-556-0200, filed 4/24/15, effective 5/25/15. WSR 11-14-075, recodified as § 182-556-0200, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW
74.08.090. WSR 10-19-057, § 388-556-0200, filed 9/14/10, effective 10/15/10. Statutory Authority: RCW
74.08.090,
74.09.035. WSR 00-16-031, § 388-556-0200, filed 7/24/00, effective 8/24/00.]