FAQs

YES! If properly documented and medically necessary.

YES! Federal law has mandated chiropractic services under Title 42 U.S.C. § 1395x(aa). Although just over half of the states have made provisions for optional services that include chiropractic coverage for their state-licensed providers, federally licensed FQHCs are covered under federal laws, which state that optional services, including dental, chiropractic, podiatry, etc., when delivered by an FQHC, must be paid. This ruling was reaffirmed on September 23, 2013, by the Ninth Circuit Court of Appeals.

It can take as little as 2–3 weeks. We will provide chiropractic equipment and the chiropractor. A 10x20 space/examination room is needed for chiropractic care.

1. Lack of experience and knowledge will lead to improper documentation = audit + money left on the table.

2. Full-time chiropractor = greater overhead + mandated benefits.

3. No built-in quality control measures for monitoring the patient volume, with little accountability.

4. Without community and clinic outreach, the low patient volume doesn’t keep the chiropractor busy, leaving the clinic not trusting the effectiveness of such specialty service.

5. Often times the chiropractor leaves once the volume is down, leaving the clinic with the specialty equipment and having to start all over again.

NONE. We come in as a full-service agency.

Awender Chiropractic Health Services partners with Federally Qualified Health Centers (FQHCs) and community health organizations to design, implement, and manage integrated chiropractic programs. We specialize in helping centers expand access to non-opioid pain management and musculoskeletal care while creating new PPS-eligible revenue streams.

ACHS is not a staffing agency. We provide an end-to-end integration model — handling provider recruitment, credentialing, training, billing workflows, reporting, and program oversight. Our programs are fully compliant with HRSA, Medi-Cal, and FQHC billing standards and built to deliver both financial sustainability and clinical excellence.

We currently serve multiple FQHC systems throughout California and are expanding nationwide. Our programs are adaptable to rural, suburban, and urban health centers of any size.

Chiropractic care is delivered as a primary care-aligned specialty service under the PPS reimbursement structure. We work closely with medical, behavioral health, and physical therapy teams to ensure seamless integration into existing workflows, EMR systems, and referral pathways.

A single 10x10 exam room or underutilized space is sufficient. ACHS provides and maintains all specialty chiropractic equipment and supplies, eliminating capital expense for the clinic.

ACHS manages all recruitment, vetting, onboarding, and aid in credentialing processes. Our chiropractors are trained to work in integrated, multidisciplinary settings and are credentialed under your clinic’s health plan network.

Most programs can be operational within 60–90 days of contract execution, depending on credentialing timelines and clinic readiness.

Each chiropractic visit qualifies for full PPS reimbursement, creating a new, self-sustaining revenue stream. On average, partner clinics see 15–25% net new revenue growth within the first year, without significant startup cost.

Typically, no. ACHS covers provider recruitment, equipment, and training. The clinic provides space and support staff as needed. Revenue is generated per visit, creating immediate financial return upon patient volume activation.

We provide transparent monthly reports on patient volume, utilization, revenue performance, and clinical outcomes. These metrics help clinic leadership evaluate ROI and support compliance reporting to HRSA or state associations.

Chiropractic care directly supports FQHC goals of reducing opioid dependency, improving functional outcomes, and addressing social determinants of health. Our programs often result in fewer ER visits for pain, reduced prescription reliance, and better overall patient satisfaction scores.

Many patients with chronic pain also experience anxiety, depression, or trauma-related symptoms. Chiropractic services integrate with behavioral health programs to deliver holistic, coordinated care — improving both physical function and emotional well-being.

Yes. Our chiropractors receive training in trauma-informed care, FQHC documentation standards, and culturally responsive communication to serve diverse patient populations safely and effectively.

We stay engaged beyond implementation. ACHS provides continuous provider oversight, staff education, billing audits, and operational consulting to ensure long-term program success. A true partnership.

We supply outcome dashboards, PPS visit summaries, and integration benchmarks, along with quarterly business reviews to align clinical and financial performance with your strategic goals.

Contact our Strategy & Operations team to schedule an introductory assessment. We’ll review your patient demographics, visit capacity, and financial goals, then provide a customized integration proposal.