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.
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 are other CAM providers 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.
***Information provided below has been collected through various Facebook discussions, information I have learned in classes, workshops and conventions on this topic and are subject to change at any moment.
HCP = Licensed as a Health Care Provider. Check to see if you are by contacting your state massage board. This list in incomplete. If your state is not listed as a HCP it is mainly because I haven’t found the answer yet.
Alabama
HCP – Yes
Car Accidents
Workers Comp.
Health Insurance
Alaska
HCP – Yes
Car Accidents
Workers Comp.
Health Insurance – Premera Blue Cross
Arizona
Car Accidents : Yes
Workers Comp.
Health Insurance
Arkansas
Car Accidents
Workers Comp.
Health Insurance
California
Car Accidents – Yes
Workers Comp. – Yes
Health Insurance
Colorado
Car Accidents – Yes
Workers Comp. – Yes
Health Insurance – BCBS
Connecticut
HCP – Licensed under the Board of Health
https://www.cga.ct.gov/current/pub/chap_368a.htm#sec_19a-14a
Car Accidents
Workers Comp. – YES (need resource)
Health Insurance
Delaware
Car Accidents
Workers Comp.
Health Insurance
Florida
HCP’s – Yes
Car Accidents – No PIP billing allowed.
Workers Comp.
Health Insurance – Yes .
FL State Board of Massage: http://floridasmassagetherapy.gov/
Georgia
HCP – Yes
Car Accidents
Workers Comp.
Health Insurance
Hawaii
Car Accidents – Yes
Workers Comp. – Yes
Health Insurance – Working on it – http://www.hawaiimassage.org/healthcare-integration/
Idaho
Car Accidents
Workers Comp.
Health Insurance
Illinois
Car Accidents – Yes
Workers Comp. – Yes
Health Insurance
Starting Sept 2014 – BCBS will pay massage therapists.
Indiana
Car Accidents
Workers Comp.
Health Insurance
Iowa
Car Accidents
Workers Comp.
Health Insurance
Kansas
Car Accidents
Workers Comp.
Health Insurance
Kentucky
Car Accidents – Yes
Workers Comp. – Yes
Health Insurance
Louisiana
HCP – NO
Car Accidents – massage must be done by a chiropractor (need more info on this)
Workers Comp. -massage must be done by a chiropractor (need more info on this)
Health Insurance
Maine
HCP – No
Car Accidents
Workers Comp.
Health Insurance
Maryland
HCP – Yes
Car Accidents – Yes
Workers Comp. – Yes
Health Insurance – No.
Massachusetts
HCP – NO (as per Board of Massage)
Car Accidents – yes – PIP
Workers Comp – yes
Health Insurance – Mass Laborers Health & Welfare Fund
Michigan
HCP – Yes
Car Accidents – Yes
Workers Comp. – Yes
Health Insurance
Minnesota
HCP – No (as confirmed by AMTA-MN)
Car Accidents – Yes
Workers Comp.- Yes
Health Insurance – NO
Mississippi
Car Accidents
Workers Comp.
Health Insurance
Missouri
HCP – YES
Title XXII OCCUPATIONS AND PROFESSIONS Chapter 324
324.240. Definitions.
(6) “Massage therapist”, a health care practitioner who provides or offers to provide massage therapy, as provided in sections 324.240 to 324.275, to any person at no cost or for a fee, monetary or otherwise, implying that the massage therapist is trained, experienced and licensed in massage therapy, and who holds a current, valid license to practice massage therapy;
Car Accidents
Workers Comp.
Health Insurance
Montana
Car Accidents
Workers Comp.
Health Insurance
http://bsd.dli.mt.gov/license/bsd_boards/lmt_board/board_page.asp
Nebraska
Car Accidents – massage must be done by a chiropractor (need more info on this)
Workers Comp. -massage must be done by a chiropractor (need more info on this)
Health Insurance
Nevada
Car Accidents
Workers Comp.
Health Insurance
New Hampshire
HCP – No (confirmed by their board of massage)
Car Accidents
Workers Comp. According to NHDOL, NH State does not approve or disapprove providers, including massage therapists, for WC. NHDoL leaves it up to individual insurance companies.
Health Insurance – Not yet. At this time, NH State legislature does not yet consider MTs as health professionals.
New Jersey
HCP – NO (according to AMTA-NJ)
Car Accidents
Workers Comp.
Health Insurance – Cigna, Aetna, American Specialty Network
New Mexico
HCP – Yes
Car Accidents – If there is MED Pay – Yes.
Workers Comp. -Yes
Health Insurance
New York
HCP’s – Yes
Car Accidents – Yes, and vase their fees on the state workers compensation fees.
No fault insurance billing rules – https://www.dfs.ny.gov/apps_and_licensing/property_insurers/faqs_reg83_nofault_schedule
(b) Except as provided in subdivision (a) of this section, if a professional health service reimbursable under Insurance Law section 5102(a)(1) is performed outside this State with respect to an eligible injured person that is a resident of this State, the amount that the insurer shall reimburse for the service shall be the lowest of:
(1) the amount of the fee set forth in the region of this State that has the highest applicable amount in the fee schedule for that service;
(2) the amount charged by the provider; and
(3) the prevailing fee in the geographic location of the provider. (c) If the jurisdiction in which the treatment is being rendered has established a fee schedule for reimbursing health services rendered in connection with claims for motor vehicle-related injuries and the fee schedule applies to the service being provided, the prevailing fee amount specified in subdivisions (a) and (b) of this section shall be the amount prescribed in that jurisdiction’s fee schedule for the respective service.
Workers Comp. – NO or possibly need to have direct supervision of an MD to bill
Health Insurance
North Carolina
HCP – Yes (although the Board of Massage there does not know.)
Car Accidents
Workers Comp.
Health Insurance
North Dakota
Car Accidents
Workers Comp.
Health Insurance
Ohio
HCP – Yes
Car Accidents – 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.
Workers Comp. – yes, must be BWC certified, easy to become certified.
Health Insurance – No payments to LMTs, BUt, will pay chiropractors and physical therapists billing for massage therapy, which is SO wrong.
http://codes.ohio.gov/orc/4731.15
Oklahoma
Car Accidents
Workers Comp.
Health Insurance
Oregon
Complete Resource for billing in OR – Massage Business Help –
HCP – Yes
Car Accidents
Workers Comp. – https://wcd.oregon.gov/medical/provider-training/handbooks/Pages/massage-therapists.aspx
Health Insurance
AMTA-OR http://amta-or.org/
OR Board of Massage – http://www.oregon.gov/obmt/Pages/index.aspx
OR OIC – http://www.oregon.gov/DCBS/insurance/Pages/index.aspx
File a complaint with the OIC – http://www.oregon.gov/DCBS/insurance/gethelp/Pages/fileacomplaint.aspx
Pennsylvania
Car Accidents
Workers Comp.
Health Insurance
Rhode Island
Car Accidents
Workers Comp.
Health Insurance
South Carolina
HCP – NO
Car Accidents
Workers Comp.
Health Insurance
South Dakota
Car Accidents
Workers Comp.
Health Insurance
Tennessee
HCP – Yes (confirmed)
Car Accidents
Workers Comp.
Health Insurance
Texas
HCP – NO
Car Accidents – NO
Workers Comp. – NO
Health Insurance – NO
Utah
HCP – NO
Car Accidents
Workers Comp.
Health Insurance
Vermont
Car Accidents
Workers Comp.
Health Insurance
Virginia
HCP – Yes
Car Accidents
Workers Comp.
Health Insurance
http://www.dhp.virginia.gov/nursing/nursing_laws_regs.htm
Washington
HCP – Yes – http://apps.leg.wa.gov/rcw/default.aspx?cite=48.43.005
Car Accidents: Yes with prescriptions
Workers Comp. : Yes. www.lni.wa.gov, http://www.lni.wa.gov/claimsIns/Providers/
Health Insurance: Yes. Every Category Law
WA DC
HCP – Yes
Car Accidents
Workers Comp.
Health Insurance
West Virginia
HCP – Yes
Car Accidents
Workers Comp.
Health Insurance
Wisconsin
HCP – Yes – https://docs.legis.wisconsin.gov/statutes/statutes/146/81/1
Car Accidents
Workers Comp.
Health Insurance
Wyoming
Car Accidents
Workers Comp.
Health Insurance
***Information provided below has been collected through various Facebook discussions on this topic and are subject to change at any moment.
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.