Washington Administrative Code

(1) A podiatric physician commits unprofessional conduct if the podiatric physician abuses a patient or key third party. "Podiatric physician," "patient" and "key third party" are defined in WAC 246-922-600. A podiatric physician abuses a patient when he or she:(a) Makes statemen…

(1) Purpose. The purpose of this rule is to promote and establish consistent standards, continuing competency, and to promote patient safety. The podiatric medical board establishes the following rule for physicians licensed under chapter 18.22 RCW who perform surgical procedures…

WAC 246-922-660 through 246-922-790 govern the prescribing of opioids in the treatment of pain.[Statutory Authority: RCW 18.22.005, 18.22.015, 18.22.800, and 2017 c 297. WSR 18-20-085, § 246-922-660, filed 10/1/18, effective 11/1/18. Statutory Authority: RCW 18.22.240, 18.22.015(…

WAC 246-922-660 through 246-922-790 do not apply to:(1) The treatment of patients with cancer-related pain;(2) The provision of palliative, hospice, or other end-of-life care;(3) The provision of procedural premedications; or(4) The treatment of admitted inpatient and observation…

The definitions in this section apply to WAC 246-922-660 through 246-922-790 unless the context clearly requires otherwise.(1) "Aberrant behavior" means behavior that indicates misuse, diversion, unauthorized use of alcohol or other controlled substances, or active opioid use dis…

(1) The podiatric physician shall provide information to the patient educating them of risks associated with the use of opioids, including the risk of dependence and overdose, as appropriate to the medical condition, the type of patient, and the phase of treatment. The podiatric …

Podiatric physicians shall exercise professional judgment in selecting appropriate treatment modalities for the treatment of pain, including the use of nonopioid multimodal pharmacologic and nonpharmacologic therapy as an alternative to opioids whenever reasonable, clinically app…

(1) In order to prescribe an opioid in Washington state, a podiatric physician shall complete a one-time continuing education regarding best practices in the prescribing of opioids and the rules in this chapter on opioid prescribing. The continuing education must be at least one …

Prior to prescribing opioids for acute nonoperative pain or acute perioperative pain, the podiatric physician shall:(1) Conduct and document an appropriate history and physical examination, including screening for risk factors for overdose and severe postoperative pain;(2) Evalua…

The podiatric physician shall comply with the requirements in this section when prescribing opioid analgesics for acute nonoperative pain and shall document completion of these requirements in the patient record:(1) The podiatric physician, or his or her authorized designee, shal…

The podiatric physician shall comply with the requirements in this section when prescribing opioid analgesics for perioperative pain and shall document completion of these requirements in the patient record:(1) The podiatric physician, or his or her authorized designee, shall con…

The podiatric physician shall comply with the requirements in this section when prescribing opioid analgesics for subacute pain and shall document completion of these requirements in the patient record:(1) Prior to prescribing an opioid for subacute pain, the podiatric physician …

(1) The podiatric physician shall recognize the progression of a patient from the acute nonoperative or acute perioperative phase to the subacute phase and take into consideration the risks and benefits of continued opioid prescribing for the patient.(2) If tapering has not begun…

(1) For the purpose of this section, "risk assessment tool" means validated tools or questionnaires appropriate for identifying a patient's level of risk for substance abuse or misuse.(2) The podiatric physician shall evaluate and document the patient's health history and physica…

(1) When the patient enters the chronic pain phase, the podiatric physician shall reevaluate the patient by treating the situation as a new disease.(2) The chronic pain treatment plan must state the objectives that will be used to determine treatment success and must include:(a) …

The podiatric physician shall use a written agreement for treatment with the patient who requires long-term opioid therapy for chronic pain. The written agreement shall outline the patient's responsibilities and must include:(1) The patient's agreement to provide biological sampl…

(1) The podiatric physician shall periodically review the course of treatment for chronic pain. The frequency of visits, biological testing, and PMP queries in accordance with the provisions of WAC 246-922-790 must be determined based on the patient's risk category:(a) For a high…

(1) The podiatric physician shall consider referring the chronic pain patient for additional evaluation and treatment as needed to achieve treatment objectives. Special attention should be given to those chronic pain patients who are under eighteen years of age or who are potenti…

A podiatric physician is not required to consult with a pain management specialist as defined in WAC 246-922-750 when they have documented adherence to all standards of practice as defined in WAC 246-922-715 through 246-922-760 and when one or more of the following conditions are…

A podiatric physician is not required to consult with a pain management specialist as defined in WAC 246-922-735 if one or more of the following qualifications are met:(1) The podiatric physician is a pain management specialist under WAC 246-922-750;(2) The podiatric physician ha…

A pain management specialist shall meet one or more of the following qualifications:(1) If a podiatric physician, the podiatric physician must:(a) Be board certified or board eligible by a specialty that includes a focus on pain management by the American Board of Foot and Ankle …

(1) The podiatric physician shall assess and document the appropriateness of continued use of the current treatment plan if the patient's response to or compliance with the current treatment plan is unsatisfactory.(2) The podiatric physician shall consider tapering, changing, dis…

(1) When a patient receiving chronic opioid pain medications changes to a new podiatric physician, it is normally appropriate for the podiatric physician to initially maintain the patient's current opioid doses. Over time, the podiatric physician may evaluate if any tapering or o…

(1) Patients twenty-five years of age or under. In the treatment of pain for patients twenty-five years of age or under, the podiatric physician shall treat pain in a manner equal to that of an adult but must account for the weight of the patient and adjust the dosage prescribed …

(1) When providing episodic care for a patient who the podiatric physician knows is being treated with opioids for chronic pain, such as for emergency or urgent care, the podiatric physician shall review the PMP and document the review and any concerns in the patient record.(2) A…

(1) The podiatric physician shall not knowingly prescribe opioids in combination with the following Schedule II-IV medications without documentation of clinical judgment:(a) Benzodiazepines;(b) Barbiturates;(c) Sedatives;(d) Carisoprodol; or(e) Nonbenzodiazepine hypnotics, also k…

(1) Where practicable, the podiatric physician providing acute nonoperative pain or acute perioperative pain treatment to a patient known to be receiving MAT shall prescribe opioids for pain relief either in consultation with the MAT prescribing practitioner or a pain specialist.…

(1) The podiatric physician shall confirm or provide a current prescription for naloxone when high-dose opioids are prescribed to a high-risk patient.(2) The podiatric physician should counsel and provide an option for a current prescription for naloxone to patients being prescri…

(1) The podiatric physician shall register to access the PMP or demonstrate proof of having registered to access the PMP if the podiatric physician prescribes opioids in Washington state.(2) The podiatric physician is permitted to delegate performance of a required PMP query to a…

(1) Licenses must be renewed every year on the practitioner's birthday as provided in chapter 246-12 WAC, Part 2, except for postgraduate training limited licenses.(2) Postgraduate training limited licenses must be renewed every year to correspond to program dates.(3) The followi…

The examining board of psychology shall not promulgate rules which restrict access to information from applicant/employee psychological evaluations sought by public safety agencies.[Statutory Authority: RCW 18.83.050. WSR 91-04-020 (Order 117B), recodified as § 246-924-001, filed…

The definitions in this section apply throughout this chapter unless the context clearly requires otherwise.(1) "APA" means American Psychological Association.(2) "APPIC" means Association of Psychology Postdoctoral and Internship Centers.(3) "CPA" means Canadian Psychological As…

The following exemptions apply to applicants who were in a supervised experience or completed supervised experience between February 29, 2020, through June 30, 2025, regardless of when they apply for licensure:(1) Telehealth: Supervised experience completed through telehealth dur…

(1) A licensed psychologist or psychological associate who provides clinical services through telemedicine as defined in RCW 70.41.020 shall complete a one-time telemedicine training that complies with RCW 43.70.495.(2) A licensed psychologist or psychological associate shall fol…

The requirements in this section apply to individuals applying for a psychologist license.(1) Application time frame. An applicant shall submit to the department all documents requested by the department within one year from the date the application is received by the department.…

(1) Qualifications of the supervisor: The supervisor shall be licensed in Washington state for the practice of psychology and have adequate training, knowledge, and skill to evaluate the competence of the work of the ancillary staff. The supervisor may not be employed by the anci…

(1) To obtain a psychologist license, applicants shall complete:(a) A doctoral degree program as described in WAC 246-924-046.(b) Except as specified under subsection (2) of this section, a total of 3,300 supervised experience hours, that must include:(i) A practicum of at least …

To meet the education requirements of RCW 18.83.070, an applicant shall possess a doctoral degree from a regionally accredited institution.(1) The doctoral degree program must encompass a minimum of three academic years of full-time graduate study or the equivalent and must inclu…

(1) To meet doctoral degree program requirements in WAC 246-924-046 (1)(b), the doctoral program must include:(a) An academic residency under subsection (2) of this section; or(b) Educational meetings under subsection (3) of this section.(2) An "academic residency" is a residency…

(1) Telesupervision is supervision of psychological services through synchronous audio and video format where the supervisor is not in the same physical facility as the trainee. There is no predetermined limit on the number of hours that may be provided through telesupervision.(2…

(1) A practicum is the initial supervised experience earned during the doctoral program. A practicum must include a minimum of 300 hours but can include up to 1,800 hours of supervised experience.(a) For an applicant who applied on or before June 30, 2021, the doctoral degree pro…

An applicant shall successfully complete an organized internship as part of the doctoral degree program described in WAC 246-924-046.(1) The internship must include at least 1,500 hours of supervised experience and be completed within 12 to 24 months or nine to 24 months for scho…

Any internship not accredited by APA, APPIC, or CPA under WAC 246-924-046 must meet WAC 246-924-056(1) as well as the following requirements:(1) Organization of the internship program.(a) The internship must have a written statement or brochure available for prospective interns t…

If the applicant has not completed 3,000 hours of supervised experience by conferral of the doctoral degree, then up to 1,500 hours of supervised postdoctoral experience can be used to satisfy the total requirement. Postdoctoral supervised experience must be completed only if an …

To become licensed as a psychologist, an applicant must complete and pass the Examination of Professional Practice of Psychology (EPPP).(1) The Association of State and Provincial Psychology Boards (ASPPB) is responsible for the development and administration of the national exam…

A psychologist licensed under chapter 18.83 RCW and this chapter is eligible to apply for a co-occurring disorder specialist enhancement to their existing license according to the conditions of RCW 18.205.105 and chapter 246-804 WAC.[Statutory Authority: 2019 c 351, 2019 c 444 an…

An applicant for a psychologist license who fails the national Examination for Professional Practice in Psychology (EPPP) required under WAC 246-924-070 may sit for reexamination as follows:(1) Second attempt: At any following examination administration date;(2) Third or subseque…

An individual may apply for a psychology license through licensure by endorsement if the individual:(1)(a) Is licensed in another state whose licensing requirements are deemed by the board to be substantially equivalent to Washington's;(b) Has been licensed for at least two years…

The board adopts RCW 34.05.482 and 34.05.485 through 34.05.494 for adjudicative proceedings requested by applicants, who are denied a license under chapter 18.83 RCW for failure to meet the education, experience, or examination prerequisites for licensure. The sole issue at the a…

An individual may not claim to be a licensed psychological associate without first obtaining a license as provided under RCW 18.83.020 and 18.83.180.[Statutory Authority: Chapter 18.83 RCW, RCW 18.83.050, 18.130.800, 2023 c 425, and 2024 c 371. WSR 25-15-068, s 246-924-151, filed…