Dear Colleagues:

On April 9, 2020, the Governor's list on Essential Health Care Operations was updated to include the following:

  • emergency chiropractic services
  • physical therapy, prescribed by medical professional
  • occupational therapy, prescribed by medical professional

The additions to the list are backed up by a federal document that lists chiropractors, physical therapists and occupational therapists in their Essential Critical Infrastructure Workforce coming from US Department of Homeland Security's Cybersecurity and Infrastructure Security Agency. Furthermore, all three professions are defined within the federal Social Security Act (Section 1861 for Chiropractors, Section 1835 for Physical Therapists and Occupational Therapists,) as able to bill for Medicare Services.

While the recent CMS decision memo made it clear that Medicare would cover acupuncture for chronic lower back pain, Licensed Acupuncturists are considered ancillary personnel and must have some form of supervision from either a physician, a nurse practitioner or a physician's assistant. There has still been no clarification as to what that supervision entails.