The California State Compensation Insurance Fund (SCIF) on July 1, 1992 began a pilot project in two areas of the state to test chiropractic care in a managed care environment.
According to SCIF Medical Director, Gideon Letz, M.D., the program will be "evaluating the application of the managed care concept to the care of the injured worker." It is designed to "monitor medical care of disabling back and neck strain/sprain injuries. The objective of the program is to assure quality care for these individuals and to facilitate maximal recovery with timely return to work."
Initially the pilot study will involve DCs in Northern California (Stockton area), and in Southern California (Arcadia area).
Jonathan Kantor, D.C., a chiropractor consulting on the project, stated: "The parameters for chiropractic care... have been drawn from existing work (RAND Study, Quebec Study, State of Washington Standards' Document, etc.), but lean most heavily on the Mercy Center Guidelines, the chiropractic consensus document soon to be published."
Dr. Kantor assessed the program: "There is enormous potential for gain in the State Fund's managed care program. The results of the project will be closely scrutinized. If we can demonstrate that chiropractors can deliver high quality care at reasonable cost within the California workers' compensation setting, we validate the benefits of chiropractic treatment for workers' compensation in other states. And, by extension, the benefits of chiropractic care in the larger health care systems."
The importance of these types of test projects to the future of chiropractic involvement can't be overstated. In this case, the Mercy Guidelines are providing the bulk of an effective rule base that will ultimately allow chiropractic care to be tested on a level playing field. It is hoped that those chiropractors involved will recognize the importance of the project.
Recent laws in New Jersey and California represent a disturbing trend that will negatively impact a practice’s ability to collect monies from patients, as well as expose them to significant penalties if the practice does not follow the mandatory guidelines to a T. Please be aware that a similar law may be coming to your state. The time to act is before the law is passed.
With estimates showing over 30 million Americans affected by peripheral neuropathy – and a significant portion underdiagnosed – it’s increasingly likely that chiropractors are already treating these patients. What’s missing is structured recognition, comprehensive management and targeted tools to slow progression, improve function and support systemic health.
Each year, ICD-10-CM is updated on Oct. 1. For 2026, there are 74,179 total codes, with 487 additions, 28 deletions and 38 revisions. Code changes are based on date of service, not the claim submission date. Services performed on/after Oct. 1 must use the new codes. While no changes affect the common spinal or extraspinal codes most frequently used by DCs, several updates may still affect your claims – particularly for comorbidities, referred pain, or trauma cases.
| Digital Exclusive