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READ: The Answers to Ten FAQ’s about Medicare

Updated: Jan 25


AHM Coalition logo featuring a yin-yang symbol with an acupuncture needle and a green leaf, surrounded by the text 'AHM Coalition' and affiliated organizations: NCCAOM, ACAHM, ASA, and CCAHM.

The ASA Webinar about Medicare Inclusion Strategy 2025 was held on Wednesday, Jan 22, 2025.


The American Society of Acupuncturists (ASA) has created a Medicare Top Ten FAQ. It addresses key topics such as what Medicare covers, how acupuncture fits into the system, and what these changes mean for your practice and your patients. You can re-watch the Town Hall by clicking the link below or HERE.



Acupuncturists and Medicare

Frequently Asked Questions Provided by ASA

Background

Medicare is a federal health insurance program for people who are 65 and older, as well as

those with disabilities and certain significant medical conditions. It is administered federally,

and recognition of provider groups requires an act of Congress to amend the Social Security

Act (SSA).


The Centers for Medicare and Medicaid Services (CMS) began covering acupuncture services for chronic lower back pain in January 2020. CMS Decision Memo For Acupuncture For Chronic Lower Back Pain. Prior to this decision, Medicare did not cover any form of

acupuncture.

1. Are LAc’s currently Medicare providers?

2. Can LAc’s become Medicare providers?

3. If the Acupuncture for our Seniors Act becomes law, do I have to enroll in Medicare?

4. Would an “Opt-out” Option be Guaranteed for LAc’s once recognized by Medicare?

5. If added to the Social Security Act as Medicare Practitioners, could LAc's bill Medicare?

6. Can LAc’s currently use Medicare’s 1490 S reimbursement form to enable Medicare beneficiaries to pay them directly?

7. Will Electronic Health Records (EHR) be required if I am a Medicare provider?

8. If Chiropractors can’t opt-out, why would LAc’s be able to?

9. How will Acupuncture for Our Seniors Act impact LAc’s after becoming providers?”

10. Have LAc’s benefited from acupuncture being covered under Medicare?

Explore More: Past Town Halls and FAQs on Medicare, Medicaid, and Acupuncture


If you're looking for even more insights on Medicare, Medicaid, and acupuncture, check out the previous town halls and their accompanying FAQs. These sessions cover important topics and answer common questions, providing valuable information.


  • What Medicare and Medicaid Can Do for the Acupuncture Profession October 30, 2024 Q&A pdf HERE

  • AHM Coalition Town Hall October 24, 2024 Q&A pdf HERE

You can re-watch all Town Halls by clicking HERE.


Joining your state association supports local, state, and national efforts to present the profession as subject matter experts of acupuncture while improving standards of education, practice, doctorate programs, continuing education, credentialing, and privileging.







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