Massage Therapy Journal Spring 2025

Integrative Healthcare INSTITUTE FOR TM IntegrativeHealthcare.org 1-800-364-5722

standards and network participation criteria to ensure compliance and streamline reimbursement processes. Does Medicare Advantage cover massage therapy, and if so, what should clients and therapists know? Yes, Medicare Advantage plans can cover massage therapy under certain conditions. Since 2020, Medicare Advantage plans have been able to offer non-medical benefits that meet member’s health and social needs, including therapeutic massage. For 2025, over 250 Medicare Advantage plans nationwide are offering the therapeutic massage benefit. Coverage details vary by plan and may include limitations on eligible conditions, the number of sessions allowed and reimbursement rules. Clients should contact their specific Medicare Advantage provider for details on coverage, referral requirements and pre-authorization processes. Licensed massage therapists should understand the billing codes, documentation standards and network participation requirements to ensure compliance when working with these plans. How can massage therapists participate in Medicare Advantage networks and manage billing for clients? To work with Medicare Advantage clients, licensed or certified massage therapists must: • Join the network of providers for the specific Medicare Advantage plan. • Learn the required billing codes and reimbursement policies for therapeutic massage. • Follow documentation standards and pre authorization procedures required by the plan. Being proactive in understanding the individual plan’s requirements ensures a smoother process for reimbursement and compliance. By doing so, massage therapists can effectively expand their services to clients covered by Medicare Advantage plans.

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How can massage therapists find out if the Medicare Advantage Therapeutic Massage benefit is offered in their state/county?

To determine if there are Medicare Advantage plans offering the therapeutic massage benefit in your area, please reach out to the AMTA Government Relations at grinfo@amtamassage.org

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