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Chiropractic Consultant

The Chiropractic Consultation program is a second-opinion program in Washington state. Doctors can ask for assistance with diagnosis or treatment planning. You must meet the minimum requirements before submitting a chiropractic consultant application.

To become a Chiropractic Consultant, submit an application that meets the following requirements

  • Be a member in good standing with the L&I Provider Network
  • Be in active clinical practice in Washington State with:
  1. A minimum of 5 years practice experience including at least 2 years in Washington State.
  2. A minimum of 8 hours per practice week devoted to patient management during the previous year.
  • Provide proof of completion of:
  1. At least 180 hours of post-graduate continuing education in the subject areas below, including at least 30 of them in the year before application:
    • Chiropractic treatment technique (up to a maximum of 20 hours).
    • Patient evaluation (such as examination, diagnostic assessment, imaging).
    • Patient care (such as orthopedic, neurological, rehabilitation).
    • Occupational health practices.
  2. At least 14 hours of L&I sponsored or approved training for chiropractic consultants within the past two years, including:
    • L&I’s Chiropractic Consultant or Independent Medical Examiner (IME) seminars or,
    • Other L&I approved occupational health-related provider training.
  1. Consistent with L&I policies and requirements as published in L&I’s Medical Aid Rules and Fee Schedules.
  2. Utilizing problem-oriented record keeping.
  3. Complying with all reporting requirements (including ROA, APFs, 60-Day and special reports)
  4. Timely response to information requests including reviews of job requirements.
  5. Conducting closing examinations that objectively documents the worker’s clinical and functional status and submitting the appropriate reports and documentation to L&I or the self-insured employer.
  • Have obtained consultations as clinically indicated, and prior to 120 days of conservative care for accepted L&I claims managed in the previous 2 years.

    How to apply

    After 1/1/2013, doctors must be in the Medical Provider Network (MPN) before they can apply to become chiropractic consultants. Only doctors in Washington can join the network. See how at: Join the Medical Provider Network.

    Washington chiropractors: You may apply to become a chiropractic consultant at any time you believe you have met the minimum requirements shown above.

    Send the Chiropractic Consultant Application and your documentation to: 

    L&I, Provider Credentialing and Compliance
    P.O. Box 44322
    Olympia, Wash. 98504-4322

    To remain a Chiropractic Consultant, submit an attestation every two years that the following requirements have been met (the attestation will be mailed to you every odd numbered summer)

    • Maintain good standing in the L&I Provider Network
    • Be in active clinical practice in Washington State having devoted a minimum of 8 hours per practice-week to patient management in the previous year.
    • Complete 30 hours of continuing education every year in subjects such as:
      • Chiropractic treatment technique (up to a maximum of 20 hours).
      • Patient evaluation (such as examination, diagnostic assessment, imaging).
      • Patient care (such as orthopedic, neurological, rehabilitation).
      • Occupational health practices.
  • CE must include at least 7 hours every 2 years  of L&I sponsored or approved training for chiropractic consultants, including
      • L&I’s Chiropractic Consultant or IME seminar or,
      • Other L&I approved occupational health-related provider training. 
  • Maintain high quality clinical documentation:
    • Consistent with L&I policies and requirements as published in L&I’s Medical Aid Rules and Fee Schedules.
    • Utilizing problem-oriented record keeping.
    • Complying with all reporting requirements (including ROA, APFs, 60-Day and special reports).
    • Timely response to information requests, reviews of job requirements, etc.
    • Conducting closing examinations that objectively documents the worker’s clinical and functional status including submitting the appropriate reports and documentation to L&I or the self-insured employer. 
  • Obtain consultations as clinically indicated, and prior to 120 days of conservative care for accepted L&I claims.

Failure to meet these ongoing requirements can result in loss of Chiropractic Consultant status.

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