11/22/25
Regence has issued the following statement regarding their previously-announced chiropractic guidelines changes:

"We are pausing implementation of changes to chiropractic billing guidelines that were announced August 1, 2025. The changes were made to the Alternative Care section of our Administrative Manual and were effective November 1, 2025.

• We are pausing implementation of this recent policy change. We will reprocess any claims for codes that have been denied due to this policy, starting November 1, 2025, and will no longer apply the policy until we have completed a full re-evaluation of the codes included in the policy.
• The initial policy change resulted from an extensive review that identified improper billing practices. The policy change aligned with our understanding of correct coding practices, and we provided 90 days’ notice of that update to providers in August.
• We appreciate the feedback on the policy now that it is live and will be pausing implementation to further engage stakeholders and evaluate that feedback. Regence will reassess the application of the policy to ensure members continue to receive the care they need and that we are not paying for codes and services that are outside a provider’s scope of practice."

Background:

Regence BlueShield previously announced that it would no longer be reimbursing for physiotherapy modalities (PT codes) when rendered by chiropractic physicians. This change has the potential to devastate many DC practices in Idaho. The IACP has been actively working to push back on this policy change.

We are asking IACP members to CONTINUE to do two things:

• First, contact Regence to thank them for pausing the implementation of this policy and continue to voice your opposition to this change. They need to hear from as many DCs as possible so that they understand the extent of this problem and to ensure that they reverse the decision permanently.
• Second, file a complaint with the Idaho Insurance Commissioner at https://doi.idaho.gov/consumers/file-a-complaint/.