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 50 hours of post-graduate continuing education in the subject areas below, including at least 30 of them in the year before application:
      1. Conservative care resources and other IICAC PPQ created education (at least 25 hours)
        AND other education to fulfill the remaining hours from any combination of:
      2. Patient evaluation (such as examination, diagnostic assessment, imaging).
      3. Patient care (such as orthopedic, neurological, rehabilitation).
      4. Chiropractic tenchique (maximum of 10 hours).
      5. Other L&I approved or sponsored occupational health-related provider training
  2. At least 7 hours within the past two years from the Chiropractic Consultant seminars.
        1. Consistent with policies and requirements as published in L&I’s Medical Aid Rules and Fee Schedules.
        2. Informed by L&I’s Documentation Best Practices
        3. Timely and complete reporting (including ROA, APFs, 60-Day, closing examinations and special reports)
  • Have obtained consultations if 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, WA 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 with the L&I Provider Network
    • Be in active clinical practice in Washington State having devoted a minimum of 8 hours per practice-week devoted to patient management during the previous year.
    • Complete 30 hours of continuing education every year in subjects such as:
      • Chiropractic treatment technique (up to a maximum of 15 hours)
      • Patient evaluation and care (such as Conservative Care Resources)
      • 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 seminars
      • Other L&I approved occupational health-related provider training 
    • Agree to maintain high quality clinical documentation:
  • Obtain consultations if 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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