43,753 sections across 2,186 Washington regulatory chapters.
R.246-790-246-790-095 Vendor compliance activities.
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There are three primary types of vendor compliance activities:(1) On-site agreement monitoring is an overt compliance inspection conducted by department staff to confirm a vendor's compliance with state vendor agreement requirements, and state and federal WIC regulations.(2) A co…
R.246-790-246-790-105 Failure to meet WIC program requirements.
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(1) When an authorized vendor is out of compliance with the requirements of 7 C.F.R. 246.12, this chapter, or the vendor agreement, the department will initiate appropriate enforcement action which may include notices of violation, unless the department determines that notificati…
R.246-790-246-790-125 Vendor appeal process.
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(1) The following department actions may not be appealed:(a) The validity or appropriateness of the department's limiting criteria or the vendor selection criteria for minimum variety and quantity of WIC approved foods, business integrity, and current SNAP disqualification or civ…
R.246-790-246-790-127 Vendor advisory committee.
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(1) The department shall facilitate a WIC vendor advisory committee.(2) The committee shall function in an advisory capacity.(3) Participation is voluntary.(4) Invitations for participation may include authorized WIC vendors, retail grocer associations, food manufacturers, wholes…
R.246-790-246-790-500 Definitions related to participant compliance.
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The definitions in this section apply to this section through WAC 246-790-570 unless the context clearly indicates otherwise.(1) "Appeal" means a formal proceeding where a participant who has received a notice of violation from the department has the opportunity to present their …
R.246-790-246-790-501 Participant purpose.
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(1) The federal special supplemental nutrition program for women, infants, and children (WIC) provides supplemental foods and nutrition education to pregnant, postpartum and breastfeeding people, infants and young children from qualifying families through payment of cash grants t…
R.246-790-246-790-510 Participant certification requirements.
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(1) To be eligible for the WIC program, at the time of application an applicant must:(a) Be a pregnant person, a breastfeeding person up to one year after delivery, postpartum person through six months after delivery, an infant up to one year of age, or a child from age one throu…
R.246-790-246-790-520 Participant information verification and sharing.
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(1) The department and local WIC agency staff may verify any of the information provided by any person applying for or receiving WIC benefits.(2) When a WIC participant moves to a new service area or state, the WIC agency staff or state staff will share the participant's eligibil…
R.246-790-246-790-530 WIC participant violations and sanctions.
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(1) When any WIC participant or caregiver deliberately violates federal or state statutes, regulations, policies or procedures governing the WIC program, the department will initiate appropriate enforcement action, which may include establishment of claims under WAC 246-790-550 o…
R.246-790-246-790-550 Participant claims.
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(1) If the department determines that a WIC participant has committed a violation listed in WAC 246-790-530 which involves the misuse of WIC benefits, the department shall establish a claim against the participant for the full value of such benefits.(2) The department shall provi…
R.246-790-246-790-560 Participant disqualification.
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(1) In addition to the disqualifications set forth in the table under WAC 246-790-530, whenever the department assesses a claim under WAC 246-790-550 of $1,000 or more, or assesses a second or subsequent claim of any amount resulting from a participant violation, the department m…
R.246-790-246-790-570 Participant appeal process.
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(1) An applicant or WIC participant may file an appeal of the department's decision to deny an application, establish a claim, or disqualify a person from receiving WIC benefits.(2) At the time the department determines an applicant ineligible, issues a disqualification, or estab…
R.246-80-246-80-021 Prohibition—Vitamin E acetate.
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No person including, but not limited to, a person licensed under chapter 69.50 or 70.345 RCW, may sell, offer for sale, or possess with intent to sell, or offer for sale vapor products containing vitamin E acetate. The foregoing prohibition applies to the sale, offer for sale, or…
R.246-800-246-800-101 Scope and purpose of chapter.
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This chapter is intended to implement RCW 69.50.311. The purpose of this chapter is to establish a triplicate prescription program participation which may be imposed by the appropriate disciplinary authority upon licensed health care practitioners with prescription or dispensing …
R.246-800-246-800-120 Official triplicate prescription forms.
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Any licensed health care practitioner upon whom participation in the triplicate prescription form program is imposed shall obtain official triplicate prescription forms from the Washington state department of health. The practitioner shall pay a fee for these forms that is equal …
R.246-800-246-800-130 Distribution and retention of the triplicate prescription forms.
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The triplicate prescriptions utilized pursuant to this program shall be retained as follows:(1) The original prescription shall be provided to the patient unless the drug is dispensed or administered to the patient by the practitioner, or if an emergency prescription is issued. I…
R.246-800-246-800-140 Drugs administered or dispensed by the health care practitioner.
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A health care practitioner participating in the triplicate prescription program shall complete a prescription form for all drugs specified by the disciplinary authority. If the drugs are administered or dispensed to the patient, the original shall be transmitted to the department…
R.246-800-246-800-150 Emergency prescriptions.
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In an emergency, unless prohibited by the order of the disciplinary authority, a practitioner participating in this program may orally prescribe and a pharmacist may dispense a drug specified by the disciplinary authority to be included in the triplicate prescription program. For…
R.246-803-246-803-010 Definitions.
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The definitions in this section apply throughout this chapter unless the context clearly requires otherwise:(1) "Accredited school, college or program" means:(a) Accredited or has candidacy status as a United States postsecondary school, college or program; or(b) Accredited by or…
R.246-803-246-803-020 Advertising.
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(1) A person licensed under this chapter may use the title acupuncturist (Ac), licensed acupuncturist (L.Ac.), acupuncture and Eastern medicine practitioner (AEMP), EAMP, or any derivative thereof in all forms of advertising, professional literature and billing.(2) An acupuncturi…
R.246-803-246-803-030 Acupuncture and Eastern medicine.
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Acupuncture and Eastern medicine is a health care service using acupuncture or Eastern medicine diagnosis and treatment to promote health and treat organic or functional disorders, which includes a variety of traditional and modern acupuncture and Eastern medicine therapeutic tre…
R.246-803-246-803-040 Education and training for point injection therapy.
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Acupuncturist or acupuncture and Eastern medicine practitioners employing point injection therapy shall use only those substances and techniques for which they have received training.(1) The education and training for point injection therapy must:(a) Consist of a minimum total of…
R.246-803-246-803-100 Application requirements for applicants from approved schools, colleges or programs.
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An applicant for an acupuncturist or acupuncture and Eastern medicine practitioner license who has graduated from an approved school, college or program must submit to the department:(1) A completed application.(2) The application fee required under WAC 246-803-990.(3) Verificati…
R.246-803-246-803-110 Application requirements for applicants from accredited schools, colleges or programs.
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An applicant for an acupuncturist or acupuncture and Eastern medicine practitioner license who has graduated from an accredited school, college or program must submit to the department:(1) A completed application.(2) The application fee required under WAC 246-803-990.(3) Verifica…
R.246-803-246-803-130 Application requirements for applicants from foreign schools.
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(1) An applicant for an acupuncturist or acupuncture and Eastern medicine practitioner license who has graduated from a foreign acupuncture or Eastern medicine practitioner program not accredited, or approved by the secretary must:(a) Have at least a bachelor's or master's degree…
R.246-803-246-803-200 Training for acupuncture and Eastern medicine practitioners.
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To become an acupuncturist or acupuncture and Eastern medicine practitioner, an applicant must have training in:(1) Basic sciences as described in WAC 246-803-210;(2) Acupuncture and Eastern medicine sciences as described in WAC 246-803-220; and(3) Clinical training as described …
R.246-803-246-803-210 Basic sciences.
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To become an acupuncturist or acupuncture and Eastern medicine practitioner, an applicant must have training in basic sciences that must consist of a minimum of forty-five quarter credits or thirty semester or trimester credits. These credits shall consist of the following:(1) An…
R.246-803-246-803-220 Acupuncture and Eastern medicine sciences.
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To become an acupuncturist or acupuncture and Eastern medicine practitioner, an applicant must have training in acupuncture or Eastern medicine sciences consisting of a minimum of seventy-five quarter credits or fifty semester or trimester credits. These credits must include, but…
R.246-803-246-803-230 Clinical training.
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To become an acupuncturist or acupuncture and Eastern medicine practitioner, an applicant must complete a minimum of five hundred hours of supervised clinical training in acupuncture or Eastern medicine including no more than one hundred hours of observation which includes case p…
R.246-803-246-803-240 Examinations.
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(1) The examinations administered by the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) are the official examinations for licensure as an acupuncturist or acupuncture and Eastern medicine practitioner.(2) An applicant for licensure as an acupunct…
R.246-803-246-803-250 Documents in foreign language.
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All documents submitted to the department in a foreign language must be accompanied by an accurate translation in English. Each translated document must bear the affidavit of the translator certifying that the translator is competent in both the language of the document and the E…
R.246-803-246-803-300 Patient notification of qualifications and scope of practice.
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Acupuncturists or acupuncture and Eastern medicine practitioners in the state of Washington shall provide to each patient prior to or at the time of the initial patient visit the qualifications and scope of practice form. The form must include:(1) The acupuncturist's or acupunctu…
R.246-803-246-803-305 Patient record content.
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(1) A licensed acupuncturist or acupuncture and Eastern medicine practitioner shall:(a) Make a complete, legible, and accurate record of each patient to whom an acupuncture or Eastern medicine treatment is given. The acupuncturist or acupuncture and Eastern medicine practitioner …
R.246-803-246-803-308 Patient abandonment.
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(1) An acupuncturist or acupuncture and Eastern medicine practitioner may accept or reject a patient, but shall respond to any reasonable request for services in the interest of public health and welfare.(2) The attending acupuncturist or acupuncture and Eastern medicine practiti…
R.246-803-246-803-310 Referral to primary health care provider.
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(1) When an acupuncturist or acupuncture and Eastern medicine practitioner sees a patient with a potentially serious disorder, the acupuncturist or acupuncture and Eastern medicine practitioner shall immediately request a consultation or written diagnosis from a primary health ca…
R.246-803-246-803-320 Instrument sterilization procedure.
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(1) An acupuncturist or acupuncture and Eastern medicine practitioner shall use sterile instruments and follow proper instrument sterilization procedures and the keeping of accurate records of sterilization cycles and equipment service maintenance as described in the manufacturer…
R.246-803-246-803-325 Preparing and maintaining a clean field.
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(1) A clean field is the area that has been prepared to contain the equipment necessary for acupuncture in such a way as to reduce the possible contamination of sterile needles and other clean or sterile equipment.(2) An acupuncturist or acupuncture and Eastern medicine practitio…
R.246-803-246-803-340 Mandatory reporting.
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All individuals credentialed under this chapter must comply with the mandatory reporting rules in chapter 246-16 WAC.[Statutory Authority: Chapter 18.06 RCW and 2010 c 286. WSR 11-17-105, § 246-803-340, filed 8/22/11, effective 9/22/11.]
R.246-803-246-803-400 Inactive status.
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(1) An acupuncturist or acupuncture and Eastern medicine practitioner may obtain an inactive license by meeting the requirements of WAC 246-12-090.(2) An inactive license must be renewed every year on the acupuncturist's or acupuncture and Eastern medicine practitioner's birthday…
R.246-803-246-803-410 Expired license.
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An acupuncturist or acupuncture and Eastern medicine practitioner with an expired license may return his or her license to an active license. During the time the license is expired, an acupuncturist or acupuncture and Eastern medicine practitioner cannot practice in Washington st…
R.246-803-246-803-420 Continuing education requirements.
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The goal of continuing education is to encourage the lifetime development of the licensed acupuncturist or acupuncture and Eastern medicine practitioner, and enhance the professional skills and judgment needed to protect the health and safety of all patients.(1) A licensed acupun…
R.246-803-246-803-425 Health equity continuing education training requirements.
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(1) A licensed acupuncturist or acupuncture and Eastern medicine practitioner, must complete two hours of health equity continuing education training every four years as described in WAC 246-12-800 through 246-12-830.(2) The two hours of health equity continuing education a licen…
R.246-803-246-803-430 Suicide prevention education.
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Effective June 11, 2020, a licensed acupuncturist or acupuncture and Eastern medicine practitioner must complete a department-approved one-time training that is at least six hours in length for suicide assessment that includes assessment, treatment, and management.(1) This traini…
R.246-803-246-803-500 Application for approval of a nonaccredited school, college or program.
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(1) Clinical and didactic training of a school, college or program may be approved separately.(2) The department may consider for approval didactic training which meet the requirements outlined in WAC 246-803-210 and 246-803-220. Clinical training must meet the requirements outli…
R.246-803-246-803-990 Acupuncturist or acupuncture and Eastern medicine practitioner fees and renewal cycle.
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(1) Licenses must be renewed every year on the practitioner's birthday as provided in chapter 246-12 WAC.(2) The following nonrefundable fees will be charged:Title of FeeFeeLicense application $60.00License renewal60.00Inactive license renewal50.00Late renewal penalty50.00Expired…
R.246-804-246-804-020 Definitions.
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The definitions in this section apply throughout this chapter unless the context clearly states otherwise:(1) "ASAM criteria" means admission, continued service, and discharge criteria for the treatment of substance use disorders as published by the American Society of Addiction …
R.246-804-246-804-030 Application process.
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To receive a co-occurring disorder specialist enhancement, the applicant must submit to the department:(1) A completed application;(2) Verification of meeting the underlying licensure requirements in RCW 18.205.105(1);(3) Verification of completing the training, exam, and experie…
R.246-804-246-804-040 ASAM continuum of care.
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(1) A co-occurring disorder specialist must follow ASAM criteria in the treatment of patients according to RCW 18.205.105 and this section.(2) Clients must be assessed using ASAM criteria dimensions.(3) If a client is assessed at a 2.1 or higher level of care according to ASAM cr…
R.246-804-246-804-990 Co-occurring disorder specialist—Fees and renewal cycle.
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A co-occurring disorder specialist enhancement, once obtained, does not require renewal. The following nonrefundable fees for a co-occurring enhancement will be charged:Title of FeeFeeOriginal application Application$100.00Duplicate license10.00Verification of license25.00[Statut…
R.246-805-246-805-010 Definitions.
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The definitions in this section apply throughout this chapter unless the context clearly states otherwise:(1) "ABA" means applied behavior analysis.(2) "Accepted course sequence" means the verified course sequence set of courses that have been verified by the Association for Beha…