Manitoba is the only remaining Canadian province that covers a portion of chiropractic care for all residents, but a new funding formula effective June 1 cuts $4.8 million from Manitoba Health's annual subsidies for chiropractic, reduces the allowable number of visits to a DC from 12 to seven per year, and lowers the per-visit coverage amount from $12.30 to $8.29. (On April 1, 2018, coverage will increase to $10 per visit, but still significantly lower than previously.)
Note that this coverage amount is for the chiropractic adjustment only, according to the Manitoba Chiropractors Association (MCA), and "does not include other services such as the examination, re-examination, x-rays, consultation, general information on exercises or nutrition, or other therapies used to support the chiropractic adjustment."
In an article in the Canadian Chiropractor reporting on the cuts, Dr. Greg Stewart, a spokesperson for the MCA, emphasized the funding scale-back "flies in the face of the national opioid strategy. ... Although we have the provincial government signing on to the federal government's national opioid strategy about improving access to nonpharmacological care, at the same time within months of each other, they decrease access for the same nonpharmacological care. It's hard to understand."
Longtime readers of Dynamic Chiropractic will recall that Ontario delisted chiropractic as a partially covered service in 2004, and Alberta followed suit in 2009, leaving Manitoba as the sole Canadian province offering any measure of chiropractic coverage for all residents. One wonders whether the provincial government's next cost-saving step will be to remove chiropractic entirely from Manitoba Health. Stay tuned.
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.
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