Missouri
Chiropractic Information
Missouri Chiropractic Summary
The “practice of chiropractic” is defined as the science and art of examination, diagnosis, adjustment, manipulation and treatment both in inpatient and outpatient settings, by those methods commonly taught in any chiropractic college or chiropractic program in a university which has been accredited by the Council on Chiropractic Education, its successor entity or approved by the board. The practice of chiropractic may include meridian therapy/acupressure/acupuncture with certification as required by the board.
Licensing Requirements
Post-Licensing Education
Continuing Education requirements
48 hours required every 2 years. No hours allowed online.
requirements for educators
Missouri now accepts PACE, because of a substantial increase in the volume of CE applications. Link: https://pr.mo.gov/chiropractors-continuing-education.asp
Are PACE courses accepted for continuing education requirements?
YES
Missouri requires examinations through the National Board of Chiropractic Examiners
Part I, Part II, Part III, Part IV, Physiotherapy – Required
Acupuncture, Spec – Required
State Chiropractic Online Resources
Regulatory Authority
Missouri State Board of Chiropractic Examiners: https://pr.mo.gov/chiropractors.asp
Chiropractic Statutes and Regulations
Missouri Chiropractic Statutes https://pr.mo.gov/chiropractors-statutes.asp
Missouri Chiropractic Regulations https://www.sos.mo.gov/adrules/csr/current/20csr/20csr.asp#20-2070
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://labor.mo.gov/dwc
Provider Information: https://labor.mo.gov/dwc/healthcare-providers
Medicaid
Missouri Department of Social Services https://mydss.mo.gov/healthcare
Provider Enrollment: https://www.emomed.com/enrollprovider/ManageProvider/
Provider Fee Schedule: https://mydss.mo.gov/mhd/fee-schedules-rate-lists
Provider Manual: https://mydss.mo.gov/mhd/provider-manuals
Practice Options
| Perform extremity adjustments? | Y |
| Provide nutritional advice? | Y |
| Provide manipulation under anesthesia? | Y1 |
| Provide school enrollment exams? | Y |
| Provide sports physical exams? | Y2 |
| Provide return to play exams (including concussion protocol) for sports participation? | N |
| Perform US Department of Transportation exams? | Y3 |
| Treat animals? | Y4 |
| Perform acupuncture? | Y5 |
| Perform dry needling? | Y6 |
| Perform intraoral TMJ treatments? | Y |
| 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? | N |
| Perform casting? | N/A |
Qualifications:
1. Completing a certification course in MUA that includes at least 24 hours of academic instruction. Completing six proctored MUA procedures. Following the protocol adopted by the Missouri State Board of Chiropractic Examiners.
2. Must have additional training in sports medicine.
3. 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.
4. Must be certified by a veterinary chiropractic association, have a certification course in animal chiropractic and must have a patient referral from a licensed veterinarian.
5. Must certified in meridian therapy/acupressure/acupuncture (MTAA).
6. Must certified in meridian therapy/acupressure/acupuncture (MTAA).
7. The practice of chiropractic does not include the use of operative surgery, obstetrics, osteopathy, podiatry, nor the administration or prescribing of any drug or medicine nor the practice of medicine.