Washington Administrative Code

(1) A person who transports human remains shall:(a) Use effective hygienic measures consistent with handling potentially infectious material; and(b) Obtain a burial-transit permit from the local registrar of vital statistics or initiates a report of death with the local registrar…

(1) Other than the provisions in this section and WAC 246-500-010, this chapter does not apply to human remains after cremation.(2) A local registrar, in cooperation with the Washington state funeral and cemetery board, may issue a burial-transit permit for disposition of cremate…

(1) Other than the provisions in this section and WAC 246-500-010, this chapter does not apply to human remains after alkaline hydrolysis.(2) A hydrolysis facility must:(a) Operate a high-temperature purpose built vessel, that reaches a minimum temperature of 250 degrees Fahrenhe…

(1) Other than the provisions of this section and WAC 246-500-010, this chapter does not apply to human remains after natural organic reduction.(2) A natural organic reduction facility operator shall:(a) Collect material samples for analysis that are representative of each instan…

To protect public health and respond to emergency situations, the local health officer may:(1) Impose additional requirements for the handling, care, transport, or disposition of human remains; or(2) Suspend any requirements of this chapter.[Statutory Authority: RCW 43.20.050 and…

(1) The purpose of these rules is to implement RCW 70.175.010 through 70.175.090, and RCW 70.185.030 through 70.185.080. The Washington health systems resources program includes rural health systems development and community-based recruitment and retention. The health systems res…

The department may use the following methods to implement this chapter:(1) Solicit and select projects as described in WAC 246-560-035 through 246-560-081.(2) Offer, or contract for, services to carry out the purposes of this chapter.[Statutory Authority: RCW 70.175.010 - [70.175…

For the purpose of this chapter the following words and phrases have the following meanings unless the context clearly indicates otherwise.(1) "Applicant" means any interested party who has been invited to submit an application proposing a health systems resources project.(2) "Ap…

(1) Health systems development activities include:(a) The planning, development, and/or implementation of the infrastructure needed to support a cost effective health care delivery system. Examples of infrastructure development include:(i) Telemedicine and other communications sy…

Any interested party may be placed on the health systems resources mailing list maintained by the Department of Health, Office of Community and Rural Health, or its successor, P.O. Box 7834, Olympia, WA 98504-7834. Contacts on the mailing list will receive instructions for the ne…

(1) An interested party, may be a for-profit, not-for-profit, or governmental entity which is:(a) Proposing services benefiting the population in a rural catchment area; and/or(b) Proposing services benefiting an urban underserved area and including recruitment and retention acti…

An interested party must submit a letter of interest to be considered for a health systems resources project. The department may solicit letters of interest.The letter of interest must:(1) Not exceed three pages;(2) Include the applicant name and address;(3) Briefly describe the …

(1) Reviewers shall score letters of interest independently using a scoring system established by the department, which is incorporated by reference.(2) Copies of the scoring system may be requested by writing to the Washington State Department of Health, Office of Community and …

(1) The project addresses at least one of the goals of the health systems resources program, as described in WAC 246-560-001.(2) The project addresses needed improvements in the delivery of basic health care services, including preventive services.(3) The project reflects a coope…

(1) A completed face sheet.(2) A description of the applicant and its capacity to manage and oversee the project.(3) A description of the proposed project including:(a) Health systems resources program goal(s) addressed; and(b) Health systems resources program priority addressed.…

(1) The department will screen applications for the following criteria:(a) Received in the Office of Community and Rural Health, P.O. Box 47834, Olympia, Washington 98504-7834, on or before the due date.(b) One original application and two unbound copies provided, sufficiently le…

The department may consider the input of individuals outside the department who have expertise with rural and underserved communities. Selected reviewers must sign a statement:(1) Agreeing to refrain from discussion of letters of interest or applications outside of the review pro…

(1) The department may, based on reviewer recommendations, funding limitations, or other considerations, offer funding to all, some or none of the applicants, and may offer to fund portions of projects.(2) Reviewers shall score applications independently using a scoring system es…

(1) The following departmental actions are subject to administrative appeal:(a) A decision not to invite an application;(b) A determination that an application does not meet initial screening criteria and will not be reviewed; or(c) A decision not to fund all or any portion of a …

The definitions in this section apply throughout this chapter unless the context clearly requires otherwise:(1) "Applicant" means an entity with an active Washington state business license, physically located in Washington state, that has provided health care services for a minim…

(1) The purpose of the J-1 visa waiver program is:(a) To increase access to physicians for low income, medicaid-covered and otherwise medically underserved individuals;(b) To increase the availability of physician services in existing federally designated HPSA for applicants that…

(1) The department may assist communities to recruit and retain physicians, or other health care professionals, as directed in chapter 70.185 RCW, and as provided in 22 C.F.R. Sec. 41.63 by sponsoring up to the number of allowable visa waivers as authorized by the federal governm…

(1) Applicants and physicians must meet all federal criteria for international medical graduates seeking a visa waiver including the criteria established in 8 U.S.C. Sec. 1182(e), 8 U.S.C Sec. 1184(1), and 22 C.F.R. Sec. 41.63(e).(2) Except for state psychiatric or correctional f…

(1) All proposed practice location(s) must be an existing practice location in Washington state for at least 12 months prior to application submittal.(2) All proposed practice location(s) provided in the application will be counted toward the maximum number of sponsorships allott…

(1) The physician seeking a recommendation for a J-1 visa waiver from Washington state must not have a J-1 visa waiver application pending for any other employment offer and must provide a letter attesting that no other applications are pending.(2) The physician must have the qua…

(1) An applicant is limited to one hospitalist sponsorship per hospital per federal fiscal year. Multiple employers at the same location are not allowed.(2) An applicant may only use inpatient data on the patient visit report required in WAC 246-562-060 to demonstrate that fiftee…

(1) Notwithstanding any other provisions of this chapter, this rule governs the allocation of departmental J-1 visa waiver sponsorships of specialists and primary care physicians during the federal fiscal year, which begins on October 1st of each year.(2) The department will acce…

(1) During the application review period of October 1st through October 15th, the following review process will apply.(a) Applications that are ineligible or incomplete will be returned to the applicant and will not be considered for scoring. The applicant is solely responsible f…

(1) Applicants will be notified of the department's decision within 30 business days of the review period's closing date. If the decision is to decline sponsorship, the department will provide an explanation of how the application scored or failed to meet the stated criteria.(2) …

(1) The department may report to the U.S. Department of State and the United States Citizenship and Immigration Services if the applicant or physician is determined to be out of compliance with any of the provisions of this chapter.(2) The following amendments made to the employm…

(1) The department may provide letters of attestation for visa waiver applications sponsored by federal agencies, including the Physician National Interest Waiver Program and the United States Department of Health and Human Services Waiver Program.(2) Requests for a letter of att…

(1) The department may provide a letter of completion to confirm a physician's fulfillment of the three-year service obligation under the Washington state J-1 physician visa waiver program.(2) Requests for a letter of completion must be sent electronically to the department for c…

The volunteer retired provider malpractice insurance program (VRP) was established under RCW 43.70.460 and 43.70.470, and is administered by the department of health. The VRP program serves low-income patients by increasing access to health care services. The program pays the mal…

Qualified practice settings include any of the following:(1) Public or tax exempt corporations.(2) For-profit practice settings that maintain and hold themselves out to the public as providing health care services to medicaid patients and post a sliding fee scale.(3) For-profit p…

The purpose of this chapter is to establish the requirements for epinephrine autoinjectors and anaphylaxis training for employees and representatives of authorized entities under RCW 70.54.440.[Statutory Authority: RCW 70.54.440 and 43.70.040. WSR 18-03-039, § 246-570-001, filed …

The definitions in this section apply throughout this chapter unless the context clearly indicates otherwise.(1) "Administer" or "administration" means the direct application of an epinephrine autoinjector to the body of an individual.(2) "Authorized entity" means any entity or o…

Prior to prescribing or dispensing an epinephrine autoinjector to an authorized entity, a prescriber or dispenser may require proof of epinephrine autoinjector and anaphylaxis training.[Statutory Authority: RCW 70.54.440 and 43.70.040. WSR 18-03-039, § 246-570-020, filed 1/9/18, …

An employee or representative of an authorized entity shall complete an epinephrine autoinjector and anaphylaxis training by an approved training provider, as defined in WAC 246-570-040, prior to storing, maintaining, providing or administering an epinephrine autoinjector made av…

(1) Epinephrine autoinjector and anaphylaxis training must be conducted by:(a) A nationally recognized organization experienced in training laypersons in emergency health treatment. For the purposes of this section, the American Red Cross anaphylaxis and epinephrine autoinjector …

(1) Epinephrine autoinjector and anaphylaxis training may be conducted online or in person and at a minimum, must include:(a) Techniques on how to recognize symptoms of severe allergic reactions, including anaphylaxis;(b) Standards and procedures for the storage and administratio…

(1) Each authorized entity must report to the department each incident when an employee or representative who holds a training certificate under WAC 246-570-030 administers or provides an epinephrine autoinjector to a person believed to be suffering from anaphylaxis.(2) The incid…

The secretary will consider for approval any training provider which meets the requirements as outlined in this chapter.(1) An authorized representative of the training provider shall request approval on a form provided by the department.(2) The training provider must submit docu…

The purpose of this chapter is to establish board rules to detect, in newborns, congenital disorders leading to developmental or physical disabilities as required by RCW 70.83.050 and to provide protections for the confidentiality of information and human biological specimens sub…

The definitions in this section apply throughout this chapter unless the context clearly requires otherwise.(1) "Amino acid disorders" means homocystinuria (HCY), maple syrup urine disease (MSUD), phenylketonuria (PKU), and tyrosinemia type I (TYR I), which may cause severe compl…

(1) Hospitals and other providers of birth and delivery services or neonatal care to infants shall:(a) Inform parents or guardians, by providing a departmental information pamphlet or by other means, of:(i) The purpose of screening newborns for congenital disorders;(ii) Disorders…

(1) Prior to a hospital discharge of a newborn, the hospital shall ensure that:(a) A licensed health care provider perform critical congenital heart disease screening on the newborn using pulse oximetry according to recommended American Academy of Pediatrics guidelines;(b) Record…

(1) The department shall report to the board annually the following information concerning tests conducted under WAC 246-650-020:(a) The costs of tests as charged by the department;(b) The results of each category of tests, by county of birth and racial or ethnic group, as report…

The newborn screening specimen/information form submitted to the department pursuant to WAC 246-650-020 becomes the property of the state of Washington upon receipt by the Washington state public health laboratory. The department shall protect the privacy of newborns and their fa…

The department has authority under RCW 43.20B.020 to require a reasonable charge from parents, guardians, or responsible parties for the costs of newborn screening. The charge is to be collected through the facility where the specimen was obtained.[Statutory Authority: RCW 70.83.…

The department has the authority under RCW 70.83.023 to collect an eight dollar and forty cent fee for each infant screened to fund specialty clinics that provide treatment services for congenital disorders defined by the state board of health under RCW 70.83.020, and may also be…