ROAD TO PRACTICE:

HAWAII

1. Join State Association

Hawaii State Chiropractic Association

2. License Requirements

Applying for NBCE Exams

NBCE requirements

https://mynbce.org/
Parts I*, II*, III* and IV*: Required – PASSING SCORE IS 375
Physiotherapy*: Required – PASSING SCORE IS 375

State Specific Exams

NBCE Special Purposes Examination in some cases – Passing score is 375
https://www.capitol.hawaii.gov/hrscurrent/Vol10_Ch0436-0474/HRS0442/HRS_0442-0006.htm

Applying for a license

Application Process

State-specific special Licensing requirements

Department of Commerce and Consumer Affairs
CHAPTER 442
CHAPTER 436B

State Scope of Practice

Department of Commerce and Consumer Affairs

https://www.capitol.hawaii.gov/hrscurrent/Vol10_Ch0436-0474/HRS0442/HRS_0442-0001.htm

“Chiropractic is defined to be the science of palpating and adjusting the articulations of the human spinal column by hand; provided that the practice of chiropractic as contemplated and set forth in this chapter may include the use of necessary patient evaluation and management procedures of the human spinal column, hot or cold packs, whirlpool, therapeutic and rehabilitative exercise, traction, electrical and electromechanical stimulation, therapeutic ultrasound, myofascial release, diathermy, infrared, and chiropractic spinal manipulative treatment and extraspinal evaluations for the diagnosis and treatment of neuromusculoskeletal conditions related to the human spinal column, subject to the restrictions contained in this chapter; and provided further that the practice of chiropractic as contemplated and set forth in this chapter shall not include the practice of lomilomi or massage. For the purposes of this section, spinal refers to the five spinal regions: cervical region (includes atlanto-occipital joint); thoracic region (includes costovertebral and costotransverse joint); lumbar region; sacral region; and pelvic (sacroiliac joint) region.”

Continuing Education

Professional & Vocational Licensing Division | Board of Chiropractic Continuing Education Information

Department of Commerce and Consumer Affairs

20 hours every odd-numbered year

“§16-76-38 Basic requirements for renewal. (a) The licensee shall file, together with the biennial renewal application, or before December 31 of each odd-numbered year, a certificate of completion of at least twenty hours in continuing education programs approved by the board, which have been completed within the twenty-four months before the renewal deadline.”

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

(Employer Identification Number)

Step by step instructions

https://sa.www4.irs.gov/modiein/individual/index.jsp

State specific rules

Link to state specific “starting a business” : Business | Virginia.gov
You need to have a physical address, PO boxes do not apply for address qualifications.
File your business here: State Corporation Commission Clerk’s Information System
- You will need to reserve your name, and can do so before you are ready to actually file your business
- You will file your articles of organization and registered agent
- You will also need to register for your business itself for future tax purposes here. In Virginia, chiropractors may file under either PLLC or LLCs, as well as other organizations. However, depending on who reviews your materials, they may want your LLC to be a PLLC or vice versa. Legally you can file for either.

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

Note: This list may not be a fully comprehensive list of ALL Malpractice Insurance providers. Be sure to check if the provider you choose is licensed to cover you in your state.

NCMIC – https://www.ncmic.com/malpractice-insurance/how-to-apply-online/
OUM – https://www.oumchiropractor.com/quote/apply
ChiroSecure – http://chirosecureform.com
PRI – https://www.pri.com/who-we-serve/chiropractors
General Liability Insurance – https://generalliabilityinsure.com/small-business/chiropractic-insurance.html
ChiroFuture – https://chirofutures.org/online-quote/
SDN Insurance – http://sdnins.com/chiropractor.html
CoverMD – http://www.covermd.com/chiropractor-malpractice-insurance.aspx
Insureon – https://alliedhealth.insureon.com/resources/cost/chiropractic
MBS Insurance Services – https://www.mbsinsure.com/solutions/malpractice-insurance/
USA Business Insurance – https://www.businessinsuranceusa.com/chiropractor-professional-liability-insurance
CM&F – https://www.cmfgroup.com/professional-liability-insurance/chiropractic-assistant-insurance/
MACARIO Insurance Group – https://www.macarioinsurance.com/who-we-cover/all-classes-of-business/
Chiroprefered – https://chiropreferred.com/find-the-right-coverage

What To Consider When Selecting A Plan

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.