Medicaid Monitor
Policy Intelligence
Medicaid Monitor
Policy Intelligence
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State Policy·MO·June 16, 2026

Missouri Eliminates Medicaid Coverage for Chiropractic Services Due to Budget Cuts

Missouri has eliminated Medicaid coverage for chiropractic services following state budget cuts, reversing a 2018 legislative expansion that added chiropractors as covered providers. The change affects access to non-opioid pain management services for Medicaid enrollees. The elimination comes despite earlier projections that chiropractic coverage would reduce overall Medicaid costs. The policy change takes effect immediately as part of broader Medicaid budget reductions.

Why it matters for managed care

Managed care organizations in Missouri must remove chiropractic services from covered benefits and may see increased utilization of more expensive pain management alternatives, including emergency department visits and opioid prescriptions.

Managed Care

Read the full article at missouriindependent.com

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