Do you provide acupuncture services? Let us know.
To help our members better access the care they need, when they need it, we're adding an acupuncture category to our Find a Doctor tool.
If you're a provider who furnishes acupuncture services, make sure you're added to this category in our Find a Doctor tool by completing and submitting an updated Provider Information Form to PH-PELC@priorityhealth.com. Be sure to check the box for "Acupuncture" under the Provider's practice setting section on page 1.
Medicare Advantage plans have an acupuncture benefit
In accordance with guidance from the Centers for Medicare and Medicaid Services (CMS), we cover in-network acupuncture services for Medicare members who are using the service to treat chronic low back pain (cLBP). Learn more about the Medicare Advantage acupuncture benefit.
Who can provide acupuncture services?
Per CMS guidelines, physicians may furnish acupuncture in accordance with applicable state requirements. We'll also be adding acupuncturists to our list of credentialed providers.
Physician assistants, nurse practitioners/clinical nurse specialists, and auxiliary personnel may furnish acupuncture if they meet all applicable state requirements and have:
- A masters or doctoral level degree in acupuncture or Oriental Medicine from a school accredited by the Accreditation Commission on Acupuncture and Oriental Medicine (ACAOM); and
- Current, full, active, and unrestricted license to practice acupuncture in a state, territory, or commonwealth (i.e. Puerto Rico) of the United States, or District of Columbia.
Auxiliary personnel furnishing acupuncture must be under the appropriate level of supervision of a physician, physician assistant, or nurse practitioner/clinical nurse specialist required by CMS regulations at 42 CFR §§ 410.26 and 410.27.
Priority Health credentials auxiliary personnel as acupuncturists in accordance with their state licensure. To apply, complete the Provider Information Form.