Acupuncture Services

Health Net members may only access acupuncture services and treatments through American Specialty Health Plans, Inc. (ASH Plans).

Acupuncture outpatient services are limited to two services in a month, in combination with audiology, chiropractic, occupational therapy, and speech therapy services. Acupuncture services are limited to treatment performed to prevent, modify or alleviate the perception of severe, persistent chronic pain resulting from a generally recognized medical condition. Authorization is not required for acupuncture services for up to two visits per month. Prior authorization is required if additional visits are needed through ASH during the same month.

Medi-Cal members may self-refer for acupuncture for certain conditions, illnesses or injuries only covered in conjunction with services from a medical doctor (for example, chronic pain or nausea related to chemotherapy).

Participating physician groups (PPGs) and direct network providers must only refer Medi-Cal members to ASH Plans for acupuncture services.

Los Angeles County members assigned to Molina

This is not applicable to Health Net members assigned to Molina, contact Molina about acupuncture services.