Chiropractic care services under VA and DoD health programs. Find active federal and state offices of chiropractors contracts — AI-scored against your profile across SAM.gov and 200+ portals.
Annual federal spending under NAICS 621310 is estimated at $150–$200 million, primarily through VA and DoD health programs. Competition is moderate; many contracts are set aside for small businesses. Demand is driven by statutory requirements for chiropractic care within the VA health system and TRICARE. Contracts are typically structured as fixed-price, individual task orders under IDIQs or BPAs, with some one-off contracts for specific clinics. The VA’s Community Care Network (CCN) and Patient-Centered Community Care (PC3) programs are major demand drivers.
These agencies are the largest buyers of offices of chiropractors services and products in the federal government. Each awards contracts under NAICS 621310 regularly — build relationships with their small business offices first.
To win contracts, focus on VA’s Community Care Network (CCN) and TRICARE network agreements. Most awards are firm-fixed-price, LPTA, with price as the key differentiator. Set-asides for SDVOSB, VOSB, and 8(a) are common. The single highest-leverage move is to obtain VA CCN credentialing and become a network provider—this opens access to a steady stream of referrals without competing on each individual award. Also, consider subcontracting to a prime on a large IDIQ like the VA’s Spinal Cord Injury and Disorders (SCI/D) contract.
Most chiropractic services are bought via LPTA, firm-fixed-price awards. Common vehicles include VA’s CCN (a network-based BPA), TRICARE network agreements, and GSA Schedule 621I (Health & Medical Services). For DoD, use of 8(a) STARS III or VETS GWAC is rare; instead, agency-specific IDIQs like the Army’s MEDCOM IDIQ are used. Evaluation is based on price, credentials, and past performance.
Chiropractors must hold a current, unrestricted state license in the state where services are provided. VA also requires credentialing through its VetPro system, which includes verification of education, training, and malpractice history.
Bonding is rarely required for individual chiropractic service contracts, as they are usually small-dollar, fixed-price awards. However, if you are a prime on a large IDIQ or BPA, a performance bond may be needed for task orders exceeding $150,000.
SDVOSB and VOSB certifications are highly advantageous for VA contracts. The VA has a statutory priority for SDVOSBs. 8(a) certification is also beneficial for DoD and IHS contracts. HUBZone certification can help but is less common.
Competition is moderate. Many contracts are set aside for small businesses, but the number of qualified chiropractors is limited. In FY2023, the VA awarded about 1,200 chiropractic-related contracts, with an average award size of $50,000–$100,000.
Yes, especially through VA’s CCN program, which allows any credentialed provider to receive referrals. For formal contracts, teaming with an experienced prime or obtaining a mentor-protégé agreement can help overcome the lack of past performance.