Offices of Chiropractors
Size Standard: $9 million
NAICS code 621310 covers establishments of health practitioners having the degree of D.C. (Doctor of Chiropractic) primarily engaged in the independent practice of chiropractic. This includes spinal manipulation, adjustment, and related services.
Chiropractic services are an established part of federal healthcare programs. The Department of Veterans Affairs includes chiropractic care in its benefits package and contracts with community chiropractors through VA Community Care. VA employs chiropractors at some medical centers and contracts with private practitioners in other areas.
Defense Health Agency provides chiropractic services to active duty service members through military treatment facilities and TRICARE. Chiropractic care is recognized for treatment of musculoskeletal conditions common in military personnel.
Federal Employees Health Benefits (FEHB) plans include chiropractic coverage, and the Federal Employees Compensation Act (FECA) workers compensation program covers chiropractic treatment for federal employees with work-related injuries.
Chiropractic contracting typically involves treatment of back pain, neck pain, and musculoskeletal conditions. Credentialing requires D.C. degree, state licensure, malpractice insurance, and meeting program-specific requirements. Small chiropractic practices can participate in government healthcare networks through set-asides and community care arrangements.
- Department of Veterans Affairs (VA)
- Defense Health Agency (DHA)
- Department of Labor (DOL)
- Office of Personnel Management (OPM)
- Indian Health Service (IHS)
- VA Community Care Chiropractic Services
- TRICARE Chiropractic Network
- Federal Workers Compensation Treatment
- Military Treatment Facility Staffing
- Indian Health Service Contracts
These certifications can help you compete for set-aside contracts under NAICS 621310:
Does the VA cover chiropractic care?
Yes. VA provides chiropractic care for eligible veterans through VA medical centers and Community Care arrangements with private chiropractors. Coverage includes treatment for musculoskeletal conditions.
What is the size standard for NAICS 621310?
The SBA size standard for NAICS 621310 is $9 million in average annual receipts, making chiropractic practices easily qualify as small businesses.
How does TRICARE chiropractic coverage work?
TRICARE provides chiropractic care to active duty service members, typically for musculoskeletal conditions. Some military treatment facilities have chiropractic services; others refer to network providers.
What credentialing is required?
Chiropractors must hold D.C. degree from accredited program, valid state license, malpractice insurance, and meet program-specific requirements. DEA registration needed if prescribing (varies by state scope of practice).
What documentation requirements apply?
Government programs require documentation of medical necessity, treatment plans, progress notes, and outcome measures. Evidence-based protocols are expected. Audits may review claims and documentation.
Businesses below this threshold in average annual receipts qualify as small businesses for set-aside contracts.
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