ASM is a non-profit professional organization that promotes and protects the practice of acupuncture in Massachusetts.

MassHealth Regulations for Acupuncturists

As of January 2014, regulations went into place which allow acupuncture visits to be covered for those individuals enrolled in the state's MassHealth program. Under the regulations acupuncture can be provided in three locations: acute care settings, community centers and physician offices.

Most often patients cannot make use of these services due to the regulation stating that acupuncturists need physician referral, supervision and billing. Acupuncturists have never been supervised in this way. As an organization we understand that the overwhelming majority of acupuncturists are independent practitioners and are not employed by MD’s, clinics or acute care outpatient hospitals.

ASM is working to change some of these regulations so that they are better suited to acupuncturists, their practices, and ultimately their patients, including working with MassHealth to ensure that payments to acupuncturists are uniformly fair and appropriate to our work.

Below are the three pieces of regulations in both the full version as well as just the sections that are pertinent to acupuncturists.

Commonwealth of Massachusetts MassHealth Provider Manual Series.  All are PDF format

Physician  Complete      
Acupuncture section
Acute Outpatient Hospital Complete Acupuncture Section   
Community Health Center Complete   Acupuncture Section                   

ASM response:

2015  Letter to Governor Baker

2016 Letter to Secretary Sudders

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