Is Massage Therapy Covered by Medicaid?
Varies by State.
Medicaid coverage for massage therapy varies by state and is often limited. In most cases, massage therapy is not covered unless it is included in a physical therapy treatment plan that is deemed medically necessary.
Coverage Details:
- Varies state by state.
- Typically requires a physician’s prescription and inclusion in a treatment plan.
- Must be performed by a licensed physical therapist.
Pre-Authorization:
Yes. Most Medicaid programs require pre-authorization.
Limitations and Restrictions:
Coverage is often restricted to a limited number of sessions or only available for specific conditions.
Documentation Required:
- Prescription from a physician.
- Detailed treatment plan.
- Progress notes.
Finding Providers:
Check with your state’s Medicaid program for approved providers.
PCP Referral Needed?
Possibly. Requirements vary by state.
Reimbursement for Out-of-Network Providers:
Unlikely. Most Medicaid programs do not offer out-of-network coverage for massage therapy.
For More Information:
Visit your state’s Medicaid website or contact customer service.