2006 proposed fee schedule - American Society of Clinical Oncology

provided for an active subluxation only, and not for
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prevention or maintenance. Additionally, treatment of the
subluxation must be related to a neuromusculoskeletal
condition where there is a reasonable expectation of
recovery or functional improvement.
Section 651 of the MMA provides for a 2-year
demonstration to evaluate the feasibility and advisability
of covering chiropractic services under Medicare. These
services extend beyond the current coverage for manipulation
to care for neuromusculoskeletal conditions typical among
eligible beneficiaries, and will cover diagnostic and other
services that a chiropractor is legally authorized to
perform by the State or jurisdiction in which the treatment
is provided. Physician approval will not be required for
these services. The demonstration must be budget neutral
and will be conducted in four sites, two rural and two
urban. One site of each area type must be a health
professional shortage area (HPSA).
On January 28, 2005, we published a notice in the
Federal Register (70 FR 4130) describing the covered
services and site selection for this demonstration. As
recognized in the notice, the statute requires the Secretary
to ensure that aggregate payments made under the Medicare
program do not exceed the amount that would have been paid