Maryland
Chiropractic Information
Maryland Chiropractic Summary
The primary function of the Maryland State Board of Chiropractic Examiners is to protect the healthcare public. This is accomplished by ensuring that chiropractors and chiropractic assistants are properly licensed, trained, and educated. In addition, it is the duty of the Board to ensure that licensees and registrants comply with laws and regulations pertaining to their respective scope of practice.
A drugless system of health care based on the principle that interference with the transmission of nerve impulses may cause disease. The Practice of Chiropractic includes the diagnosing and locating of misaligned or displaced vertebrae and, through manual manipulation and adjustment of the spine and other skeletal structures, treating disorders of the human body.
Licensing Requirements
Post-Licensing Education
Continuing Education requirements
48 hours required every 2 years. All hours allowed online.
requirements for educators
All non- pre-approved providers (e.g., Commercial providers, not using Pre-Approved Provider courses) must submit their courses for approval with a $25.00 review fee (per mailing). Non-preapproved provider courses will to be posted on the Board’s website. Approvals expire five (5) years from the date the Board approved the course. Submission of courses for review must be postmarked at least sixty (60) days prior to the start of the date of the course.
Are PACE courses accepted for continuing education requirements?
Maryland requires examinations through the National Board of Chiropractic Examiners
Part I, Part II, Part III, Part IV, Physiotherapy, Acupuncture, Spec – Required
State Chiropractic Online Resources
Regulatory Authority
Maryland State Board of Chiropractic Examiners: https://health.maryland.gov/chiropractic/Pages/index.aspx
Chiropractic Statutes and Regulations
Board of Chiropractic Health Occupations Articles https://health.maryland.gov/chiropractic/Pages/comar.aspx
Code of Maryland Regulations – Title 10 https://health.maryland.gov/chiropractic/Pages/comar.aspx
State Government Resources
State Legislature Homepage
State Legislature Bill Search Tool
Legislative member roster
State Governor's Office
Secretary of State
Office of the Insurance Commissioner
State Associations
State Chiropractic Coverage
Worker’s Compensation
Maryland Workers’ Compensation Commission https://www.wcc.state.md.us/
Fee Schedule: https://www.wcc.state.md.us/MFG/Medical_Fee_Schedule.html
Medicaid
Maryland Department of Health https://health.maryland.gov/mmcp/Pages/home.aspx
Provider Information: https://health.maryland.gov/mmcp/Pages/Provider-Information.aspx
Practice Options
| Perform extremity adjustments? | Y |
| Provide nutritional advice? | Y |
| Provide manipulation under anesthesia? | Y1 |
| Provide school enrollment exams? | Y2 |
| Provide sports physical exams? | Y3 |
| Provide return to play exams (including concussion protocol) for sports participation? | N |
| Perform US Department of Transportation exams? | Y4 |
| Treat animals? | N |
| Perform acupuncture? | Y5 |
| Perform dry needling? | Y6 |
| Perform intraoral TMJ treatments? | N/A |
| Perform internal coccyx adjustments? | Y |
| Are there limits to body areas DCs are allowed to examine and/or treat? | Y7 |
| Are there limits on diagnostic tools DCs are allowed to use? | N/A |
| Perform venipuncture? | Y |
| Perform casting? | N/A |
Qualifications:
1. Must be pre-approved by the Maryland Board of Chiropractic Examiners. The pre-approval process requires the chiropractor to complete a program from an approved provider that takes about 30–40 hours. The chiropractor must also demonstrate knowledge, training, and education in all aspects of MUA, including equipment and contraindications.
2. The school or institution may decide whether to accept their signature. It’s best to check with the institution before performing the exam.
3. The school or institution may decide whether to accept their signature. It’s best to check with the institution before performing the exam.
4. A chiropractor can perform a Department of Transportation (DOT) physical exam if they are a certified medical examiner (CME) listed on the Federal Motor Carrier Safety Administration’s (FMCSA) National Registry.
5. Must hold a separate Maryland Acupuncture license.
6. Must be registered with the Maryland Board of Chiropractic Examiners and meet certain requirements.
7. The practice of chiropractic does not include the use of drugs or surgery, or the practice of osteopathy, obstetrics, or any other branch of medicine.