February 2023

Disclosure of Ownership and Cultural Competency Requirement

In accordance with regulatory requirements of the Minnesota Department of Human Services (DHS) and the Centers for Medicare & Medicaid Services (CMS) regulations, all payors, including Fulcrum Health, Inc. (Fulcrum) must collect and maintain information regarding disclosure of ownership and cultural competency from all providers in its network on an annual basis.


Fulcrum is requesting that each clinic complete the online form by March 28, 2023. 

Click here to access the Cultural Competency online form.

Click here to access the Disclosure of Ownership online form.

The online forms are located on a secure, encrypted webpage.

Contact us with any questions at


MN RETAIN (Retaining Employment and Talent After Injury/Illness Network) is working with injured or ill Minnesota workers who are not able to do their usual work, and providing support so they can return to work as soon as possible. 

Fulcrum was awarded subrecipient participation in the MN RETAIN Phase 2 study, a federal grant study funded by the U.S. Department of Labor and the Social Security Administration. The Minnesota study is a collaboration among and between the following organizations: Governor’s Workforce Development Board, Mayo Clinic, MN Department of Employment and Economic Development, MN Department of Health, MN Department of Labor and Industry, and Workforce Development, Inc. 

Dr. Deb Zurcher will be leading this initiative that will continue until May 16, 2024. Fulcrum is excited to offer the MN ChiroCare Centers of Excellence clinics the opportunity to participate in the study and further demonstrate the value of chiropractic care for injured or ill workers.  

Accepting ChiroCare Centers of Excellence Applications!

We are now accepting applications from ChiroCare network providers who believe their clinics meet the Centers of Excellence criteria. The application period is open until March 31, 2023.


The CCoE Self-Assessment, Application, and Attestation can be completed online for administrative ease.


Please log into, go to Learning Hub tab and then the CCoE tab to access the necessary documents to apply and take the self-assessment.


If you have completed the CCoE self-assessment and received a passing score of 20 or higher, please consider completing the CCoE application.


Current CCoE's do not need to re-apply. Verification review of records begins February 2023.


We encourage you to take a close look at the CCoE program overview.


If you have any questions about the ChiroCare Centers of Excellence program, please contact Dr. Vivi-Ann Fischer

Value of a CCoE Designation

Healthcare in today’s world is focused on providing patient options that demonstrate high standards of quality and value. Consumers are demanding clinics that demonstrate this level of quality and affordability while primary care providers are seeking conservative care options to manage their patients’ back pain.

  • Visibility as a Center of Excellence clinic on the Find a Doc tool located on
  • Position your clinic to be recognized for increased Pay for Performance incentives.
  • Award Plaque and digital media kit
  • New associates are tiered Bronze, without authorization requirements.
  • Recognized as a quality clinic, facilitating trust and referrals with other care practitioners and patients.
  • Opportunities to participate in pilot projects demonstrating conservative care value.


The CCoE program highlights ChiroCare clinics who achieve and maintain the highest standards of patient-centered care through record keeping, documented outcome measures, and collaboration with other health care providers to achieve the Triple Aim in health care. 


Attributes of Excellence

  1. Comprehensive Patient Intake and History
  2. Assessment and Outcome Tools
  3. Cognitive Behavioral Therapy
  4. Shared Decision Making
  5. Conservative Imaging
  6. Treatment Care Plans
  7. Coordination of Care Between Practitioners or Facilities
  8. Management of the Care Plan
  9. Established Referral List of Practitioners and Referral Procedures
  10. Active Care Instruction
  11. Patient Education on homecare and prevention
  12. Wellness Instruction
  13. Patient-Centered Approach to Care Plans and Care Management
  14. Demonstration of Collaboration with Other Practitioners

Changes to Clinic and/or Provider Information? Let us Know!

The federal No Surprises Act requires health plans to verify the accuracy of provider contact information every 90 days. Fulcrum will provide more information about this requirement and what it means for you and for Fulcrum in a future communication.

Currently, your provider agreement with Fulcrum requires you to immediately notify Fulcrum of any change in your or your clinic’s demographic information, including, but not limited to name, address, phone, fax, email address, and taxpayer identification number.

Fulcrum’s Provider Portal offers a quick and electronic method for reporting changes.  Simply select the Demographic Updates tab on the home page.

We appreciate your continued partnership!