Can You Bill Insurance in your state? Please let me know which insurance plans you can and can not bill. Also looking for information on each states legislative actions that are working toward getting massage accepted by health insurance.
Which Insurance can you bill – PIP/MedPay (car accidents), workers compensation, Health Insurance
What is happening in your state as far as getting massage covered by Health Insurance?
What is your Local AMTA chapter doing?
What is the Office of the Insurance Commissioner doing?
Are you licensed as a health care provider – if so where are the laws on this in your state.
Can you become a provider with workers comp? What do you have to do?
| State | Healthcare Provider | Bill Workers Compensation | Bill Car Accidents | Bill HealthCare plans |
|---|---|---|---|---|
| Alabama | Yes | |||
| Alaska | Yes | Premera Blue Cross | ||
| Arizona | Yes | Yes | ||
| Arkansas | ||||
| California | Yes | Yes | ||
| Colorado | Yes | Yes | Yes | BCBS |
| Connecticut | Yes | |||
| Delaware | ||||
| Florida | Yes | Yes | Yes – No PIP | Yes. Law 627.6619 |
| Georgia | Yes | |||
| Hawaii | ||||
| Idaho | ||||
| Illinois | Yes | Yes | Yes | BCBS |
| Indiana | ||||
| Iowa | ||||
| Kansas | ||||
| Kentucky | Yes | Yes | ||
| Louisiana | NO | when done by a chiro | when done by a chiro | |
| Maine | NO | |||
| Maryland | Yes | Yes | Yes | |
| Massachusetts | No | Yes | Yes | Mass Laborers Health & Welfare Fund |
| Michigan | Yes | Yes | Yes | |
| Minnesota | NO | Yes | Yes | |
| Mississippi | ||||
| Missouri | Yes – Title XXII OCCUPATIONS AND PROFESSIONS Chapter 324 324.240. Definitions. | |||
| Montana | ||||
| Nebraska | massage must be done by a chiropractor | massage must be done by a chiropractor | ||
| Nevada | ||||
| New Hampshire | NO | According to NHDOL, NH State does not approve or disapprove providers, including massage therapists, for WC. NHDoL leaves it up to individual insurance companies. | ||
| New Jersey | NO | Cigna, Aetna, American Specialty Network | ||
| New Mexico | Yes | If there is MED Pay – Yes | Yes | |
| New York | Yes | No | Yes, and base their fees on the state workers compensation fees. No fault insurance billing rules | |
| North Carolina | Yes | |||
| North Dakota | ||||
| Ohio | Yes | yes, no prescription required by law, although more insurance companies are requiring it for payment. Do not allow doctor to dictate your sessions by prescribing number of sessions, or limited diagnosis, etc, because they have no idea what muscles have been affected or what it takes to heal. | yes, must be BWC certified, easy to become certified. | No payments to LMTs, But, will pay chiropractors and physical therapists billing for massage therapy. |
| Oklahoma | ||||
| Oregon | Yes | Yes. Providers Info | Yes | Yes |
| Pennsylvania | ||||
| Rhode Island | ||||
| South Carolina | NO | |||
| South Dakota | ||||
| Tennessee | YES | |||
| Texas | NO | NO | NO | NO |
| Utah | NO | |||
| Vermont | ||||
| Virginia | Yes | |||
| Washington | Yes. RCW 48.43.005 | Yes. Medical Providers | Yes. | Yes. Every Category Law. WAC 284-170-270 |
| WA DC | Yes | |||
| West Virginia | Yes | |||
| Wisconsin | Yes. 146.81 Health care records; definitions | |||
| Wyoming |
Darin Stumme says
Julie, how often do you update this page? It appears that Oregon needs updating: LMTs can bill PIP and PHI (network), but not Worker’s Comp. Some links below to support/clarify.
– https://www.massagebusinesshelp.com/massagebusinessblog
– https://www.eastwestcollege.com/insurance-billing-for-massage-therapists-accepting-personal-injury-protection-pip-payments
– https://wcd.oregon.gov/medical/Documents/matrix-health-care-providers.pdf
Julie Onofrio says
I update it when I get new information. Thanks! Why can’t they bill worker’s comp? I don’t see anything in the links you provided that says you can’t bill workers comp in OR.
Primavera says
Hello there,
Can MT’s bill health insurance in CA? has there been any changes to that? thank you for being a great resource.
Julie Onofrio says
There might be some plans that do but you have to check each one.
Katie says
I do not see South Carolina anywhere on the list.
Julie Onofrio says
it is there– do you know if you can bill health insurance, car accidents or workers comp?
thanks Julie
Anita Foster says
In Ohio, clients can use HSA (Health Care Savings Account) to pay for or get reimbursed if LMT has an NPI #.
Kara says
Can LMTs bill health insurance without a Dr.’s referral in AK?
Julie Onofrio says
You would have to ask someone in AK but I would say no absolutely not. You have to have a diagonis from a doctor.
Rachel says
How do we acquire informations about Michigan insurance billing? Trying to figure out guidelines and can not find the information can you help? I am a LMT of a LLC
Julie Onofrio says
You can check with your local AMTA Chapter and see what they know. Then look at your labor and Industries or Workers Compensation website to see if they have a section to apply and ask them if you can bill. It is different in each state and each plan varies.