Chiropractic License Renewal (FAQ)

Every other year, our inbox fills up with questions about continuing education and chiropractic license renewal. In 2020, circumstances made for a number of exceptions to prior rules, so these questions may be even more relevant. We’ve compiled the following answers to the most common questions. If you do not find your answer, please feel free to contact us and we’ll add it to the page.

How do I renew my New Hampshire chiropractic license?

Renewal can be completed online at NH’s Online Licensing.

How much does it cost to renew a chiropractic license in New Hampshire?

License renewal costs $300. This is paid as part of the electronic renewal process or by mailed check.

When do I need to renew my NH chiropractic license?

License renewal occurs on odd-numbered years in New Hampshire, meaning licenses are renewed on a two-year cycle. Continuing education documentation and payment should be received by the Office of Professional Licensure by June 30th. All licenses expire on July 1st.

How many continuing education credits do NH chiropractors need for license renewal?

In New Hampshire, chiropractors are required to complete 20 hours of continuing education per cycle, approved by the Board of Chiropractic Examiners via the Office of Professional Licensure.

Get started with your license renewal here.

More information about online CE in 2020

How much online/remote education can be accepted for license renewal?

Prior to 2020, NH chiropractors were permitted to take up to 25% (5 hours) of their continuing education via remote education.

During the COVID-19 pandemic, Governor Sununu issued an order which allowed the Board of Examiners to accept all qualifying online education completed by December 31, 2020, up to 100% of doctors’ requirements. The NH Board of Chiropractic Examiners requested that the Governor extend the date for approval for online hours to June 30, 2021, and we believe that this extension will be granted, however we have not yet heard back from the Governor’s office (last updated 12/29/2020).

How do online hours work? Is there a quiz associated?

Most online courses do have a quiz associated to ensure that the participant did actually pay attention to the information presented. They will also often have a timer that records the amount of time spent logged into the course, this way if the participant is to receive 6 hours for a course the course moderator can verify that at least 6 hours were spent logged into the course.

What courses are accepted for credit?

Courses must be approved by the NH Board of Chiropractic Examiners via staff at the NH Office of Professional Licensure and Certification. In almost every instance, event organizers are responsible for arranging approval. PACE-approved courses are accepted. Some reliable sources of continuing education include NHCA events, DConline, LearnACA, chiropractic colleges, and first aid/basic life support courses from the Red Cross and American Heart Association.

Telehealth Considerations for New Hampshire Chiropractors

Despite our essential business status, physical distancing strategies decrease demand for chiropractors’ hands-on treatment as people try to stay home more. However, we are able to apply our broad knowledge and skill sets to continue serving the people of NH, even when they aren’t able to reach our offices. Telehealth provides an opportunity to reach people in their homes.

screenshot from Doxy.me visit

Patient and provider connect by video in a telehealth appointment

There are a broad array of services available for telehealth consults. To hit the ground running, choose one that is affordable and simple to use for you and patients. Free options include Doxy.me, and other options ranging from Google Meet at $12/mo or VSee at $50/mo, to ExamMed and Zoom for Healthcare at $200/mo. The cloud-based EHR Jane, which is popular among chiropractors, integrated a telehealth feature in March in response to increased demand, and we will see this market continue to grow.

Each of the options listed above is HIPAA compliant. However, the US Department of Health and Human Services announced that during the emergency period they have relaxed HIPAA restrictions around remote consults. They are prioritizing getting care to patients, so they’ll honor our good-faith attempts to provide quality care, even if that means using more informal services like FaceTime, Skype, Messenger or Hangouts. In NH, emergency order #8 also interpreted the use of audio-only phone consults as valid telehealth service.

You should also know about billing and regulations. Medicare only covers manipulation codes, so we are excluded from telehealth reimbursement. NH Medicaid plans mostly exclude service from chiropractors, but plans that allow chiropractic are currently expected reimburse for telehealth under emergency order #8. Private insurance plans are expected to reimburse for telehealth consults and guided rehab at the same rate as in-office care, though this may vary. According to ChiroCode, E/M codes will be used most frequently, with level based on time and coded with a -95 modifier. You should brush up on this documentation and coding at the ChiroCode website. Additionally, VP Pence has also encouraged states to create temporary avenues for interstate telehealth, a situation we will continue to monitor.