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CMS-1403-FC
P. Discussion of Chiropractic Services Demonstration
In the CY 2006, CY 2007, and CY 2008 PFS final rules
with comment period (70 FR 70266, 71 FR 69707, 72 FR 66325,
respectively), we included a discussion of the 2-year
chiropractic services demonstration that ended on
March 31, 2007. This demonstration was required by section
651 of the MMA to evaluate the feasibility and advisability
of covering chiropractic services under Medicare. These
services extended beyond the current coverage for
manipulation to care for neuromusculoskeletal conditions
typical among eligible beneficiaries, and covered
diagnostic and other services that a chiropractor was
legally authorized to perform by the State or jurisdiction
in which the treatment was provided. The demonstration was
conducted in four sites, two rural and two urban. The
demonstration was required to be budget neutral as the
statute requires the Secretary to ensure that the aggregate
payment made under the Medicare program does not exceed the
amount which would be paid in the absence of the
demonstration.
Ensuring BN requires that the Secretary develop a
strategy for recouping funds should the demonstration
result in costs higher than those that would occur in the
absence of the demonstration. As we stated in the CY 2006
706