Is Massage Therapy Covered by Molina Healthcare?
Limited Coverage.
Molina Healthcare may cover massage therapy when it is considered medically necessary and is included as part of a broader physical therapy treatment plan prescribed by a physician. The therapy must be provided by a licensed physical therapist or a recognized provider.
Coverage Requirements:
- Must be prescribed by a licensed physician.
- Included in a documented treatment plan.
- Provided by a licensed physical therapist.
Pre-Authorization:
Yes. Pre-authorization is required for massage therapy, with detailed documentation needed.
Limitations:
Molina Healthcare typically limits the number of sessions and the types of conditions for which massage therapy is covered. Stand-alone massage services are not covered.
Documentation Needed:
- Physician prescription.
- Detailed treatment plan.
- Progress notes from the provider.
Finding Providers:
Use Molina Healthcare’s provider directory for approved therapists.
PCP Referral:
Possibly. Depending on the plan, a referral may be required.
Out-of-Network Reimbursement:
Reimbursement for out-of-network services may not be available or may be limited.
For More Information:
Visit Molina Healthcare’s website or contact customer service.