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Chiropractic Treatment Criteria

Approved:  8/06
Reviewed:  2/07, 2/08, 1/09, 3/10, 2/11, 1/12, 1/13, 3/14, 3/14, 2/15, 1/16, 1/17
Revised:  3/14

Chiropractic treatment seeks to restore normal body function by physically manipulating the spine to remove pressure on nerves.

Chiropractic treatment is covered when all of the following criteria are met: 

  1. A neuromuscular condition is diagnosed that may be relieved by standard chiropractic treatment in order to restore optimal function.
  2. Chiropractic treatment is performed by a licensed doctor of chiropractic practicing within the scope of his/her license.
  3. The enrollee is involved in an ongoing chiropractic treatment program that clearly documents all of the following:
    • A prescribed treatment program
    • The symptoms being treated
    • Diagnostic procedures and results
    • Frequency, duration and results of planned treatment modalities
    • Anticipated length of treatment plan with identification of short and long term goals
    • Demonstrated continued progress towards significant functional gains and/or improved activity tolerances
  4. The chiropractic treatment program may at times be rendered to provide relief or temporary restoration of function.


Utilization Management

ConnectCare's Utilization Management Staff is available to address questions and issues related to case management and utilization by using the telephone or fax numbers listed below.

ConnectCare Medical Management
4000 Wellness Drive
Midland, MI 48670
Toll free: 888-646-2429
Local: 989-839-1613
Fax: 989-839-1679
Hours of Operation
8:00 a.m. - 12:00 p.m.
1:00 p.m. - 5:00 p.m.
Monday - Friday (Eastern Time)

After normal business hours, inbound communications and information may be relayed via fax, confidential voice mail or electronic mail. All precertification requests and/or communications received after normal business hours are returned on the next business day and communications received after midnight on Monday through Friday are responded to on the same business day.

Certified by NCQA since 2007

NCQA Certified Utilization Management"Achieving Utilization Management Certification from NCQA demonstrates that ConnectCare has the systems, process and personnel in place to conduct utilization management in accordance with the strictest quality standards." -- Margaret E. O'Kane, President, NCQA

NCQA has reviewed and certified ConnectCare's Utilization Management functions only. For complete details on the scope of this review, visit