Acupuncture Insurance Best Practices Guide

The Acupuncture Insurance Best Practices Guide was developed with the assistance of chiropractors with certifications and experience in providing acupuncture as an adjunctive therapy under the College of Chiropractors of Ontario (CCO) Acupuncture Standard of Practice (S-017). Their insights have been supplemented with research by OCA staff members.

Please help us improve the tool by submitting your own best practices to or by calling 1-877-327-2273.

Members may also wish to use the CCPA’s Acupuncture Informed Consent Form.

Dual Registration with the CTCMPAO

Chiropractors who practise traditional Chinese acupuncture may be eligible to apply for a general class licence with the College of Traditional Chinese Medicine Practitioners and Acupuncturists of Ontario (CTCMPAO).

Please note that chiropractors who practise acupuncture within the chiropractic scope of practice are regulated by the College of Chiropractors of Ontario (CCO) in accordance with Standard of Practice S-017: Acupuncture and are not required to register with the CTCMPAO in order to continue this practice. Please note however that most extended health insurance “acupuncture” benefits are now limited to acupuncture performed by members of the CTCMPAO. Chiropractic acupuncture is covered under “chiropractic services” benefits.

Dual registration with the CTCMPAO and the CCO may appear to be an attractive option for chiropractors who perform acupuncture as this will allow patients to claim acupuncture benefits in their extended health plans. Members should be aware, though, that in order to count as a TCM acupuncture visit the treatment must follow a TCM assessment, diagnosis and treatment plan. An acupuncture treatment that follows a chiropractic assessment, diagnosis and treatment plan would be claimed as a chiropractic service under most extended health plans.

For more information on dual registration, please refer to the CCO’s Standard of Practice S-011: Members of More Than One Health Profession (PDF).