ROAD TO PRACTICE:
ARIZONA
1. Join State Association
Web page link
Application
https://chiroaz.org/membership-join/
Membership Fees:
Membership Type | Fee (Monthly) | Fee (Annually) |
Student | $0.00 | $0.00 |
1st Year | $0.00 | $0.00 |
New DC (2-5 Years) | $40.00 | |
FT/PT Practicing DC (6+ years) | $80.00 | $768.00 |
Retired DC | $30.00 |
2. License Requirements
NBCE requirements
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Parts I*, II*, III* and IV*: Required – PASSING SCORE IS 375
The Arizona jurisprudence exam is administered online. A score of 75% or higher on the Arizona Jurisprudence Examination. The Jurisprudence exam is available online. If you do not pass the first time, you are allowed to retake the exam one time. The Board is not responsible for any technical issues you may experience during the exam, and any incomplete submission will be considered an attempt. If you wish to take the exam in person, you may submit a written request with your application. Please see the Board’s FAQ page under Arizona Jurisprudence Exam for more information about the Arizona Jurisprudence Examination.
A link to the Arizona Law Book to Study for the Jurisprudence Examination.
Exam Fee: $10.00
Application Process
Effective July 28, 2023, all applications are now available online through the Board’s Applicant Portal. The Board no longer accepts PDF or paper applications. If you still need to submit a PDF or paper application to the Board, please use it as a reference for your online application. You can start by setting up your account in the Board’s Online Applicant Portal.
When accessing the Online Applicant Portal, please use Chrome on a desktop or laptop computer. Other browsers and mobile devices are not compatible and may result in errors.
Step 1. Submitting your Online Application
- Submit your application, required forms, and payment through your applicant portal
- Arrange for all required documentation, such as your school transcripts, NBCE scores, verifications, police and court documents, etc., to the Board. (The Board accepts these documents electronically via email to Licensing@ChiroBoard.az.gov or by mail to the Board’s Office Address). Primary Source is required for these documents and must be sent to the Board directly from the issuing entity.
- Send your Fingerprint FD-258 Card and Fingerprint Verification Form directly to the Board’s Office. For more information about the Board’s fingerprint process and other questions relating to your Background Check, please review the Board’s FAQ page under Fingerprinting (Criminal History Background Check).
Step 2. Board Staff Initial Review
Board staff has 25 business days to review your application. When your application has been reviewed, you will be sent a notice through the applicant portal with the following information:
- A link to the Arizona Law Book to Study for the Jurisprudence Examination.
- Information on how to take the Jurisprudence exam.
An incomplete notice stating any missing items needed to complete the application.
From the date that you are notified your application is incomplete, you have 60 sixty days to complete your application. If you fail to complete your application in that time, YOUR APPLICATION WILL BE CLOSED.
Step 3. Complete Application
Once your application is deemed complete (including all required documentation and the Board receipt of your completed background check report from the Department of Public Safety), the Executive Director will review it. If the Executive Director is able to approve your application, it will be approved, and you will be issued your license. Applications are reviewed and approved on a bi-weekly basis.
Once you have been issued your license, you can apply for physical medicine modalities, therapeutic procedures, and/or acupuncture certificates. If your application contains disciplinary actions or any disclosures, you will be given a 30-day notice that the Board will review your application and may deny your license.
The average time for processing a completed application for licensure is about 4-5 months. Any deviation from the completion and submission instructions may delay the processing of your application.
License Application Link: https://azbce.portalus.thentiacloud.net/webs/portal/application/#/login
Application Fees:
Licensure Fee |
$350.00 |
Jurisprudence Fee |
$10.00 |
License Issuance Fee |
$125.00 |
Application Fee Total |
$485.00 |
Specialty Certificate Fees:
PMMTP Certification Fee |
$125.00 |
PMMTP Certification Issuance Fee |
$125.00 |
PMMTP Certificate Total |
$250.00 |
Acupuncture Certificate Fee |
$125.00 |
Acupuncture Certificate Issuance Fee |
$125.00 |
Accupuncture Certificate Total |
$250.00 |
State Scope of Practice
A Doctor of Chiropractic is a portal of entry health care provider who engages in the practice of health care, which includes:
- The practice of health care deals with the diagnosis and correction of subluxations, functional vertebral or articular dysarthrosis, or neuromuscular skeletal disorders for the restoration and maintenance of health.
- The use of physical and clinical examinations, diagnostic X-rays, and clinical laboratory procedures that are limited to urine collection, finger pricks, or venipuncture in order to determine the propriety of a regimen of chiropractic care or to form a basis for referral of patients to other licensed health care professionals, or both.
- Treatment by adjustment of the spine or bodily articulations, including physical medicine modalities and therapeutic procedures; procedures related to the correction of subluxations and neuromuscular skeletal disorders; prescription of orthopedic supports; acupuncture.
All licensees must complete up to twelve (12) hours of continuing education for each calendar year. Including a minimum of two (2) hours of record keeping every even calendar year.
To be eligible to renew a license, a licensee shall complete 12 hours of continuing education between January 1st and December 31st of each year and document compliance with continuing education requirements on the license renewal application as required.
Each course shall be on subjects of CLINICAL BENEFIT TO THE CONSUMER OF CHIROPRACTIC SERVICE. The course must have a significant relationship to assessing, diagnosing, or treating patients within the chiropractic practice scope, as defined in A.R.S. § 32-925 and 32-922.02. The primary consideration in determining whether a specific course qualifies as acceptable continuing education is that it must be a formal program of learning which will contribute directly to the professional competence of a licensee in the practice of chiropractic.
Course Requirements:
The State of Arizona has no specific requirements for the number of hours taken either via in-person courses or online. The course needs to meet the criteria outlined below to be utilized for annual renewal purposes. Each licensee is responsible for determining in advance that the course they attend qualifies for continuing education under this Article.
3. Getting Your NPI Number
(New Practioner Identification) Number
Step by step instructions
https://www.nata.org/sites/default/files/apply_npi_instructions.pdf
4. Obtaining an EIN
Step by step instructions
Note: This is your tax ID number as a practitioner
TYPE OF BUSINESS BREAKDOWN
Business Structure |
Ownership |
Liability |
Taxes |
Sole Proprietorship |
One person |
Unlimited personal liability |
Personal tax only |
Partnership |
Two or more persons |
Unlimited personal liability unless structured as a limited partnership |
Self-employment tax (except for limited partnership), Personal tax |
Limited Liability Company (LLC) |
Two or more persons |
Owners are not personally liable |
Self-employment tax, Personal tax or Corporate tax |
Professional Limited Liability Company (PLLC) |
Two or more persons |
Owners are not personally liable |
Self-employment tax, Personal tax or Corporate tax |
Corporation – C Corp |
One or more persons |
Owners are not personally liable |
Corporate tax |
Corporation – S Corp |
One or more persons, but no more than 100 and all must be US citizens |
Owners are not personally liable |
Personal tax |
Corporation – B Corp |
One or more persons |
Owners are not personally liable |
Corporate tax |
Corporation – Nonprofit |
One or more persons |
Owners are not personally liable |
Tax-exempt, but corporate can’t be distributed |
Note: The difference between an LLC and a PLLC is that all members of PLLC are required to be designated professionals.
What is an Associate?
An associate receives pay from the office by which they are employed. If you are an associate who will be dealing with vendors for selling goods, you should consider getting an EIN.
What is an independent Contractor?
An independent contractor receives pay from their patients and insurance companies directly. If you are an independent contractor, you need an EIN.
5. Obtaining Malpractice Insurance
Malpractice Insurance Providers
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NCMIC – https://www.ncmic.com/malpractice-insurance/how-to-apply-online/
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ChiroSecure – https://www.chirosecure.com
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General Liability Insurance – https://generalliabilityinsure.com/small-business/chiropractic-insurance.html
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ChiroFuture – https://chirofutures.org/online-quote/
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SDN Insurance – http://sdnins.com/chiropractor.html
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CoverMD – http://www.covermd.com/chiropractor-malpractice-insurance.aspx
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Insureon – https://alliedhealth.insureon.com/resources/cost/chiropractic
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MBS Insurance Services – https://www.mbsinsure.com/solutions/malpractice-insurance/
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USA Business Insurance – https://www.businessinsuranceusa.com/chiropractor-professional-liability-insurance
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CM&F – https://www.cmfgroup.com/professional-liability-insurance/chiropractic-assistant-insurance/
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MACARIO Insurance Group – https://www.macarioinsurance.com/who-we-cover/all-classes-of-business/
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Chiroprefered – https://chiropreferred.com/find-the-right-coverage
Claims Made
A policy providing coverage that is triggered when a claim is made against the insured during the policy period, regardless of when the wrongful act that gave rise to the claim took place. (The one exception is when a retroactive date is applicable to a claims-made policy.)
Occurrence
An occurrence policy covers claims resulting from an injury or another event that occurs during the policy term. Coverage depends on the timing of the event. A claims-made policy covers claims that are made during the policy period.
Tail Coverage
An addition to a claims-made policy. It extends coverage for incidents that happened during the time you had your policy, but a claim was not filed until after your policy expired or was canceled. Tail coverage is another name for an extended reporting period.
Note: $1 Million/$3 Million is the minimum plan required in order to participate with some Insurance Companies.
6. Participating with Insurance Providers
Aetna: https://www.aetna.com/health-care-professionals/join-the-aetna-network.html
Blue Cross Blue Shield of Arizona: https://www.azblue.com/provider/contract-with-blue
Cigna: https://www.cigna.com/health-care-providers/credentialing/join-medical-network
United HealthCare: https://www.uhcprovider.com/en/resource-library/Join-Our-Network.html
Medicare Enrollment:
https://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/Downloads/cms855i.pdf
Medicare Revalidation: PECOS:
https://www.youtube.com/embed/PaLEWx0JGPw?rel=0&autoplay=0
Tips For Medicare Audit/Record Request Tips
https://www.acatoday.org/Practice-Resources/Medicare/Medicare-Audit-Record-Request-Tips
Type Of Audit And Record Requests
https://www.acatoday.org/practice-resources/medicare/medicaretpe/
Targeted Probe And Education (TPE)
http://www.acatoday.org/MedicareTPE
Medicare Training For The Chiropractic Office
https://learn.acatoday.org/products/medicare-training-for-the-chiropractic-office
How To Bill Secondary Insurance Plans
https://www.medicare.gov/supplements-other-insurance/how-medicare-works-with-other-insurance
Which Insurance Pays First
https://www.medicare.gov/supplements-other-insurance/how-medicare-works-with-other-insurance/which-insurance-pays-first
Medicaid Participation
Arizona Health Care Cost Containment System (AHCCCS) is Arizona’s Medicaid agency. Effective October 1, 2022, AHCCCS will cover up to 20 medically necessary chiropractic visits for adults each year. Services must be ordered by a primary care provider and within the scope of chiropractic practice as defined by state law. Additional chiropractic services may be authorized in the same year if determined to be medically necessary.
To learn more about how to apply for AHCCCS, visit the How to Apply web page or call 1-855-432-7587. If you are a current AHCCCS member, make sure your contact information is current by logging into www.healthearizonaplus.gov.