Resources

Resources for Practitioners

New Practitioners

Welcome to a growing profession. The following resources are not exclusive or comprehensive and are provided as general guidance.

Professional Liability Insurance

Even before you get licensed, you can get postgraduate/pre-license liability insurance that covers you when you are assisting or volunteering. The ASA has partnered with CM&F. They offer a combined policy that covers you and your location.

Get Licensed and Learn More

Visit the Vermont Secretary of State website to for up to date information about licensing in the state. 

More available for current members here

Business Resources for Getting Started

Selecting a Business Type

Consult an accountant or legal professional. You might chose a sole proprietorship/DBA, partnership, limited liability company, or corporation.

Check local town and zoning requirements

The best way to do this is to contact your town office.

Apply for a free EIN (tax ID number)

This must be done before registering your business for taxes or completing a W2 or W9 for contracting work.

Register with CAQH

or other third-party verifier of licensure and insurance coverage.

Consider accounting, practice management, or EHR software

Additional Resources

Teaching Resources for Practitioners

Become a National Provider

Want to teach? Consider becoming a Professional Development Activity (PDA) provider for NCCAOM. Visit here for more information.

    Some PDA Provider Benefits

    Represent the profession, use the NCCAOM PDA Provider Digital Badge, enjoy approved course advertising opportunities, and more! Visit here for more information.

    Education Resources for Practitioners

    Acupuncture Doctoral Programs

    Ready for the next step in your career and want to search various programs by state, language, and focus? Visit here for more information.

    Education Events

    Visit the education opportunities section for the latest advertised local and national PDA or CEU events.

    Herbal Medicine Resources

    Introduction to Chinese Herbs

    Visit this page to learn a little about Chinese herb history, and herbal pharmacology,

    Herbal Medicine Resources

    Visit this area for more information on Herbal medicine regulation and resources.

    Resources for Patients & the Public

    Medical Practice Act and Scope

    Understanding Acupuncture Medical Practice Acts and Scopes of Practice in the United States

    Acupuncture, an ancient healing practice originating from traditional Chinese medicine, has gained popularity in the United States as an integrative component of the U.S. healthcare system or alternative to mainstream medicine. To ensure the safe and effective delivery of acupuncture services, each state in the U.S. has established specific regulations known as Medical Practice Acts. These acts define the legal framework within which acupuncturists can practice, outlining their scope of practice and setting guidelines for licensure, education, and patient care. In this article, we will delve into the general state acupuncture Medical Practice Acts and Scopes of Practice to help you understand the regulatory landscape surrounding acupuncture in the U.S.

    What are Medical Practice Acts?

    Medical Practice Acts refer to state laws that govern the practice of medicine, including acupuncture. These acts are designed to protect public health and safety by ensuring that healthcare practitioners meet specific standards of education, training, and ethical conduct. They establish the legal requirements for licensing and outline the scope of practice for various healthcare professions, including acupuncturists.

     Acupuncture Scope of Practice

    The scope of practice for acupuncturists varies from state to state.  The most up to date scope of practice for acupuncturists in Vermont can be found here.

    Licensure and Education

    To practice acupuncture legally, acupuncturists must meet the licensing requirements set forth by their respective state’s Medical Practice Act.   These requirements typically include completing an accredited acupuncture program, passing national board examinations, and obtaining a state license. The exact educational and training standards can vary from state to state, but they generally involve a comprehensive curriculum covering acupuncture theory, anatomy, physiology, diagnostics, and clinical training.   Look up whether your provider has an active acupuncture license in the state of Vermont.

    The most up to date information on licensing and renewal requirements can be found on the Vermont Secretary of State website.

    Importance of Medical Practice Acts

    Medical Practice Acts provide a vital framework for ensuring the safety, competency, and accountability of acupuncturists. By setting clear guidelines and standards, these acts protect patients from unqualified practitioners and maintain the integrity of the profession. They also facilitate collaboration with other healthcare providers, ensuring that acupuncturists work within a broader healthcare system to provide holistic and integrated care to patients.

    Understanding the Medical Practice Acts and Scopes of Practice is essential for both acupuncturists and patients seeking acupuncture services in the United States. By adhering to these regulations, licensed acupuncturists can provide safe and effective care while promoting the well-being of their patients. It is important to consult your state’s specific Medical Practice Act and seek treatment from licensed acupuncturists to ensure the highest standards of care and professionalism.

    Exploring Acupuncture and Related Modalities: A Basic Guide

    Chinese medicine, rooted in ancient wisdom, provides a holistic approach to healthcare that aims to prevent or restore health, function, and balance.  Acupuncture, originating from Chinese medicine, has gained recognition and popularity in the U.S as an effective form of medicine. This article aims to provide a basic overview of acupuncture and related modalities commonly practiced in the field.

    Acupuncture

    Acupuncture is a core modality within the practice of Chinese medicine. It involves the insertion of thin, sterile needles into specific points on the body to stimulate blood movement, improve nerve conductivity, restore function, or enhance balance. Acupuncture is known to provide relief for a wide range of conditions, including pain management, stress reduction, endocrine support, digestive disorders, and respiratory conditions. There is a range of acupuncture techniques, such as acupuncture with electric stimulation and trigger point therapy. There is also a range of treatment philosophies including meridian therapy, five element, scalp acupuncture, lineage systems like Tang and Tung, and both Classical and Traditional Chinese Medicine and medical acupuncture. To determine the best course of action, licensed acupuncturists will engage in basic questions and advanced assessment to establish a differential diagnosis.

    Moxibustion

    Moxibustion is a technique often used in conjunction with acupuncture. It is a heat therapy that typically involves the burning of mugwort (Artemisia vulgaris) near specific acupuncture points or areas of the body to promote healing & circulation and improve function.

    Infrared Heat Lamp Therapy

    Infrared heat lamp therapy utilizes lamps that emit infrared heat to penetrate the body’s tissues. This therapy can be used as a standalone treatment or in conjunction with acupuncture. The gentle heat from the lamps helps promote circulation, relax muscles, and alleviate pain and inflammation.

    Low Light Laser Therapy

    Low light laser therapy, also known as cold laser therapy or photobiomodulation, involves the application of low-intensity lasers to specific points or areas of the body. This non-invasive treatment stimulates cellular activity, enhances tissue repair, reduces inflammation, and relieves pain. Low light laser therapy is commonly used for musculoskeletal conditions, wound healing, and dermatological issues.

    Cupping

    Cupping involves placing cups on the skin to create suction. This therapy helps promote blood flow, release tension, and alleviate muscle soreness. Cupping is often used for musculoskeletal conditions, immune support, and improving circulation of blood and lymph in the soft tissues.

    Gua Sha

    Gua sha is a technique that involves directional manipulation of the skin and subcutaneous tissue using a smooth-edged tool. This therapeutic scraping motion helps release stagnation, improve circulation, and relieve muscle tension. Gua sha is commonly utilized for pain management, immune support, and improving circulation of blood and lymph in the soft tissues.

    Tui Na Massage

    Tui na is a form of Chinese therapeutic massage that combines various manual techniques and manipulation, including, kneading, stretching, and joint mobilization. Tui na helps promote circulation, relieve muscle tension, and address dysfunction. It is often used in conjunction with acupuncture for musculoskeletal issues, stress reduction, and overall wellness.

    Herbal Medicine

    Herbal medicine is an integral component of traditional Chinese medicine. It involves the use of natural substances, including plants, minerals, and animal products, to restore balance and support healing. Herbal prescriptions are tailored to individual needs and can be used internally or externally to address a wide range of conditions.

    Resources for Policy Makers

    Acupuncture Regulation

    Forty-seven states (and the District of Columbia) have practice acts in place to define and regulate the practice of acupuncture. Of these 47 states, 22 states require National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) Board Certification to issue an acupuncture license while 26 states use NCCAOM examinations as at least a portion of the licensure requirements.

    The NCCAOM is a not-for-profit organization in the United States that aims to “establish, assess, and promote recognized standards of competence and safety in acupuncture and Oriental medicine for the protection and benefit of the public.

    Medicare Covered Acupuncture

    Currently, the Centers for Medicare and Medicaid Services (CMS) covers acupuncture for chronic low back pain but licensed / qualified acupuncturists cannot directly submit claims to Medicare. While the licensed / qualified acupuncturist medical service is recognized, they are not considered qualified Medicare providers.

    H.R. 3133 – Acupuncture for Our Seniors Act of 2023 – will codify licensed / qualified acupuncturists as providers under Medicare who can work and bill independently as licensed / qualified acupuncturists.

    Herbal Medicine Regulation

    Dietary supplements and good manufacturing practices are regulated by the Food and Drug Administration (FDA).

    Policies

    1. Dietary Supplement Health and Education Act of 1994 – US Food and Drug Administration . Read Full Act
    2. FDA Industry Guidance on Complementary and Alternative Medicine Products and their Regulation by the Food and Drug Administration.
      Read Full Article
    3. Dietary Supplement and Non-Prescription Drug Act. United States Government Printing Office; Washington, DC, USA: 2006. Public Law 109–462.
    4. Current Good Manufacturing Practice in Manufacturing, Packaging, Labeling, or Holding Operations for Dietary Supplements: Final Rule. Read Here

    Guidance

    1. Herb-Drug Interactions – Chen X.W., Sneed K.B., Pan S.Y., Cao C., Kanwar J.R., Chew H., Zhou F. Herb-drug interactions and mechanistic and clinical considerations. Curr. Drug Metab. 2012;13:640–651. doi: 10.2174/1389200211209050640.
    2. FDA on Botanical Drugs and Supplements – Read Here

    Additional Resources

    Journals

    Publications of Interest

    Nierhaus T, Chang Y, Liu B, Shi X, Yi M, Witt CM, Pach D. Somatosensory Stimulation With XNKQ Acupuncture Modulates Functional Connectivity of Motor Areas. Front Neurosci. 2019 Mar 11;13:147. doi: 10.3389/fnins.2019.00147. PMID: 30914909; PMCID: PMC6421982.
    Read Full Article

    Khan MNA, Ghafoor U, Yoo HR, Hong KS. Acupuncture enhances brain function in patients with mild cognitive impairment: evidence from a functional-near infrared spectroscopy study. Neural Regen Res. 2022 Aug;17(8):1850-1856. doi: 10.4103/1673-5374.332150. PMID: 35017448; PMCID: PMC8820726.
    Read Full Article

    Matos LC, Machado JP, Monteiro FJ, Greten HJ. Understanding Traditional Chinese Medicine Therapeutics: An Overview of the Basics and Clinical Applications. Healthcare (Basel). 2021 Mar 1;9(3):257. doi: 10.3390/healthcare9030257. PMID: 33804485; PMCID: PMC8000828.
    Read Full Article

    Acupuncture Practice in Military Medical Treatment Facilities

    Establishes procedures to expand the availability and utilization of acupuncture as a non-pharmacologic therapy for acute and chronic pain as an essential element of the Military Health Service Pain Management Campaign, and guidance for implementing tiered acupuncture training, privileging, and documentation and to support the clinical practice of acupuncture by designated clinical staff throughout the Department of Defense, as a complement to existing pharmacologic and non-pharmacologic therapies. This guidance applies to all military medical treatment facilities and staff supporting the delivery of healthcare to beneficiaries. See Defense Health Agency Procedural Instruction. Acupuncture Practice in Military Medical Treatment Facilities. Found at https://www.health.mil/Reference-Center/DHA-Publications/2020/02/20/DHA-PI-6025-33

    A Protocol of a Guideline to Establish the Evidence Ecosystem of Acupuncture

    “Acupuncture clinical practice should be based on high-quality evidence, which could help in decision-making. Thus, acupuncture research should provide sufficient data to enable funders, reviewers, and steering committees to appraise the scientific and methodological rigor of the studies, and for the researchers to replicate and implement these studies.

    The United Nations Educational, Scientific, and Cultural Organization placed acupuncture on the Representative List of the Intangible Cultural Heritage of Humanity and this therapy had been deemed safe and effective. Acupuncture is an important Chinese medicine treatment method suitable for a wide spectrum of diseases. More than 60,000 randomized controlled trials 6,000 systematic reviews, and 1,000 recommendations had been published, while some studies were published in top journals which promoted the use of acupuncture worldwide.”

    See Wang Q, Li N, Li J, He Y, Li Y, Zhong D, Liu X, Fan J, Jin R, Kang D, Zhang Y. A Protocol of a Guideline to Establish the Evidence Ecosystem of Acupuncture. Front Med (Lausanne). 2022 Feb 15;8:711197. doi: 10.3389/fmed.2021.711197. PMID: 35252220; PMCID: PMC8896352.
    Found at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8896352/

    Frequently Asked Questions

    Dr. C. "Captain" Lumenello, Lic. Ac.

    Dr. C. "Captain" Lumenello, Lic. Ac.

    President (2023-2026)

    Read More about Captain

    (they / them)
    Townshend VT
    Dr. Lumenello has served on the VTAA board and been an active member of the VTAA’s Ethics, Conduct, and Inclusion Committee since 2020. They initially helped spearhead a major bylaw revision toward more inclusive language and explicit Code of Conduct, then helped formulate this organization’s first Anti-Oppression Statement. Their work as President is focused on streamlining board processes and re-examining the VTAA’s mission and vision.Dr. C opened their practice in rural Vermont in 2017, but has been in private practice since 2005. As a Qigong and Feng Shui Master, Dr. Lumenello utilizes these two branches of Chinese Medicine extensively in their practice, specializing in the treatment of trauma / PTSD recovery and auto-immune conditions. With a special interest in LGBTQ+ community concerns, Lumenello is the author of 'Gender & Sexuality in Chinese Medicine' (Singing Dragon UK, 2020), and a chapter author in ‘Ethics for Acupuncturists’ (Singing Dragon UK 2024). Outside the office, Captain can be found raising a middle schooler, motorcycling, swimming, reveling in ecstatic dance, or running backstage for local theater. Dr. Lumenello continues writing, mentoring, and lecturing nationwide on a variety of topics and can be contacted through www.catherinelumenello.com.

    Mitya Shoppe, Lic. Ac

    Mitya Shoppe, Lic. Ac

    Treasurer (2023-2025)

    Read More about Mitya

    (she/her)
    Mitya has been a member of VTAA since moving back East from San Diego where she earned her doctorate in Acupuncture and Chinese Medicine from Pacific College of Health Sciences. She now runs a busy two-room TCM practice and herbal pharmacy, Connecticut River Valley Acupuncture, in Lebanon, NH.

    Mitya began in medicine as a licensed massage therapist, then expanded her scope with a Bachelor of Science in Nursing (BSN). She practiced nursing, primarily in rural New England, for over 20 years in the specialties of maternal-child care, chronic disease management, intensive care, and hospice.

    Mitya is dedicated to the integration of biomedicine and evidence-based Eastern modalities. In addition to practicing Traditional Chinese Medicine, she assists people in restoring their gut microbiome through therapeutic probiotics and nutrition. Other loves include swimming, gardening, studying Korean language and culture, travel, and Qi Gong.

    Madeline Mindich, Lic. Ac

    Madeline Mindich, Lic. Ac

    Vice President (2024-2027)

    Read More about Madeline

    (she/her)
    Manchester Center, VT

    Hanna Defuria, Lic. Ac.

    Hanna Defuria, Lic. Ac.

    Secretary (2024-2026)

    Burlington, VT

    Dr. Montana Burns, Lic.Ac

    Dr. Montana Burns, Lic.Ac

    Board Director

    Read More about Montana

    (she/her)
    Burlington, VT

    Montana has served on the board since 2020 first as Secretary and Vice President. For the past ten years, she has owned a small clinic and herbal apothecary in Burlington. Montana graduated with Honors from the University of Vermont in 2009. She then graduated in 2013 with a Master of Science in Oriental Medicine from Southwest Acupuncture College in Boulder, Colorado. In 2019, she completed her Doctorate in Acupuncture & Chinese Medicine. Her specialties include mental health, women’s health, and pain management. Montana has given lectures about acupuncture and Chinese medicine at both the Larner College of Medicine and the University of Vermont Medical Center. She is also a published author in the field of behavioral neuroscience.

     Greg Soll, Lic.Ac

    Greg Soll, Lic.Ac

    Board Director (2022-2026)

    Read More about Greg

    (he/him)
    Essex, VT
    Greg has been on the board since 2022. He is a licensed Acupuncturist in Vermont and a Nationally Board Certified Diplomate of Oriental Medicine. He is trained in Orthopedic Acupuncture, Chinese and Japanese Acupuncture, Osteopathic palpation techniques, Tuina and Shiatsu massage, as well as East Asian Herbal Medicine. He currently focuses on treating all kinds of pain, digestive issues, auto-immune conditions, skin conditions, and Post-Viral syndromes such as Covid and Lyme Disease He is currently completing a doctorate on treating Chronic forms of Lyme Disease. Before getting into East Asian Medicine Greg was an organic Vegetable farmer and beekeeper and he was heavily involved with local farm to school programs. He now spends most of his free time with his family skiing, hiking, biking, swimming, and gardening.

    How do I become a member or renew my membership?

    Go to the Become a Member page to join or renew your membership.

    What are the benefits of membership?

    How do I become more involved in the association?

    Join a committee, or run for the board of directors.  Connect with others on the VTAA List serve.  Attend a VTAA event.  Teach or attend a CEU event.  Your association is YOU, and the options are many.  If you need or have ideas or wish to volunteer, reach out the board of directors.

    What are the benefits of being a board member?

    Board members shape the VTAA and get things done!

    If volunteering for our Board of Directors, benefits also include:
    • 5 CEU/PDA points per year for 10 hours maximum per 4-year certification period
    • Breaking out of our “work bubbles” and a chance to broaden views by interacting regularly with a diverse
    set of interesting people in our field
    • Enriching and lasting bonds made by working alongside your fellow acupuncturists and board members

    How do I join the American Society of Acupuncture (ASA)?

    By joining VTAA, you are automatically enrolled as a members of the ASA!