Washington Administrative Code

(1) A cardiovascular invasive specialist assists in cardiac or vascular catheterization procedures in the role of either:(a) A monitoring technologist, who documents every action during a catheterization procedure and monitors the patient's status, reporting any irregularities to…

To obtain certification as a cardiovascular invasive specialist, the applicant must submit:(1) A completed application on forms provided by the secretary;(2) Proof of completed education in one of the following:(a) Graduation from an educational program accredited by the Commissi…

Until July 1, 2012, the department shall issue a cardiovascular invasive specialist certification to applicants who meet the following requirements:(1) Hold a current health care credential issued by the department that has been in good standing for at least the last five consecu…

To obtain registration as an X-ray technician an applicant must submit:(1) An completed application on forms provided by the secretary;(2) Written verification of any licenses held, submitted directly from that licensing entity;(3) Applicable fees as defined in WAC 246-926-990; a…

(1) A registered X-ray technician operating X-ray equipment shall meet the competency requirements in WAC 246-225-99920 to produce radiographic images in physical form, such as X-ray film.(2) The authorized duties a registered X-ray technician may perform under the direction of a…

(1) If the license has expired for three years or less, the practitioner must meet the requirements of WAC 246-12-040.(2) If the license has expired for over three years, the practitioner must:(a) Demonstrate competence to the standards established by the secretary; and(b) Meet t…

(1) Certificates and registrations must be renewed every two years on the practitioner's birthday as provided in chapter 246-12 WAC.(2) The following nonrefundable fees will be charged for certified diagnostic, therapeutic, magnetic resonance imaging, and nuclear medicine radiolo…

(1) Registrations must be renewed every year on the practitioner's birthday as provided in chapter 246-12 WAC, Part 2. The secretary may require payment of renewal fees less than those established in this section if the current level of fees is likely to result in a surplus of fu…

The definitions in this section apply throughout this chapter unless the context clearly requires otherwise.(1) "Analgesia" means providing pain relief or loss of physical sensation without the total loss of consciousness or physical movement, and which allows the patient to resp…

This section identifies who must be licensed as a respiratory care practitioner with the department and who is exempt from licensure.(1) Any person performing or offering to perform the functions authorized in RCW 18.89.040 must be licensed as a respiratory care practitioner. A c…

To become licensed as a respiratory care practitioner, an applicant shall:(1) Submit to the department:(a) A completed application as provided by the department;(b) Proof of meeting the education requirements in WAC 246-928-520;(c) The appropriate fee required in WAC 246-928-990;…

(1) To renew a license a respiratory care practitioner shall submit a renewal form provided by the department, with the appropriate fee required in WAC 246-928-990.(2) The specific requirements and process for renewal of a license are in WAC 246-12-030.(3) Renewal fees must be po…

To renew a respiratory care practitioner license, the licensee shall acquire 30 credit hours of respiratory care continuing education every two years as required in RCW 18.89.140. Licensees shall meet the continuing education requirements outlined in this section and report compl…

(1) The licensee shall:(a) Verify on renewal forms provided by the department, that the minimum continuing education has been completed within the two-year renewal cycle prior to the licensee's renewal date; and(b) Keep records for four years as required in WAC 246-12-200.(2) The…

(1) Beginning on January 1, 2024, a respiratory care practitioner must complete training in health equity as a part of their continuing education requirements. The respiratory care practitioner must complete at least two hours of health equity training every two-year renewal cycl…

To return an expired license to active status, the applicant shall meet the requirements in WAC 246-12-040.[Statutory Authority: RCW 18.89.050 and 2021 c 114. WSR 22-11-013, § 246-928-450, filed 5/9/22, effective 7/1/22. Statutory Authority: RCW 18.89.050(1). WSR 01-11-165, § 246…

(1) To meet the educational requirements required by RCW 18.89.090, an applicant must be a graduate of at least a two-year respiratory therapy educational program. The program must be accredited by:(a) The Committee on Accreditation for Respiratory Care (CoARC);(b) The American M…

(1) An applicant who has taken and passed both the therapist multiple choice examination and the clinical simulation examination for the registered respiratory therapist credential provided by the National Board for Respiratory Care (NBRC), has met the minimum examination require…

An applicant who is currently or was previously credentialed in another state may qualify for licensure in Washington state.(1) For those credentialed in another state or states with substantially equivalent standards to Washington for at least two years immediately preceding the…

(1) An applicant who is currently credentialed in another state or jurisdiction substantially equivalent standards to Washington may qualify for a temporary practice permit while pending licensure in Washington state. Applicants must submit the following documentation to be consi…

An applicant who holds national certification as a registered respiratory therapist from the National Board of Respiratory Care, or its predecessor organization, may be granted Washington licensure upon proof of current national certification in good standing that meets all of th…

(1) In order to provide extracorporeal membrane oxygenation (ECMO) and extracorporeal life support (ECLS), a respiratory care practitioner shall first complete education and hands-on experience specific to this treatment. The education must meet the guidelines in the 2010 Extraco…

(1) A respiratory care practitioner shall follow the training requirements and protocols of the hospital or facility in which they are employed when providing nitrous oxide for analgesia.(2) To provide nitrous oxide for analgesia, a respiratory care practitioner shall complete tr…

Individuals and other entities must report unprofessional conduct in compliance with the Uniform Disciplinary Act in chapter 18.130 RCW and the standards of professional conduct in chapter 246-16 WAC.[Statutory Authority: RCW 18.89.050 and 2021 c 114. WSR 22-11-013, § 246-928-710…

(1) Licenses must be renewed every two years on the practitioner's birthday as provided in WAC 246-12-030.(2) The following nonrefundable fees will be charged:Title of FeeFeeApplication$140.00Temporary practice permit50.00Duplicate license15.00Verification of licensure15.00Renewa…

The definitions in RCW 18.420.010 and in this section apply throughout this chapter unless the context clearly states otherwise.(1) "Approved supervisor" means a credentialed behavioral health provider or peer support specialist who meets the requirements in this chapter.(2) "Beh…

(1) The definitions and prohibitions on sexual misconduct described in chapter 246-16 WAC apply to certified peer support specialists and certified peer support specialist trainees except WAC 246-16-100 (4) and (5).(2) A certified peer support specialist and a certified peer supp…

(1) Individuals who practice peer counseling or provide peer support services are not required to obtain the peer support specialist certification to provide peer services in the state of Washington.(2) The titles of certified peer support specialist and certified peer support sp…

Certified peer support specialists and certified peer support specialist trainees can practice peer support services as defined in RCW 18.420.010. This consists of providing interventions through the use of shared experiences to assist the participant in acquiring and exercising …

If a certified peer support specialist certification is expired, the individual must meet the requirements of WAC 246-12-040 to return the credential to active status.[Statutory Authority: RCW 18.420.020 and 2025 c 360. WSR 25-21-015, s 246-929-050, filed 10/3/25, effective 11/3/…

An applicant for a peer support specialist certificate shall submit to the department:(1) An application on forms provided by the department;(2) An attestation that the applicant self-identifies as:(a) Having one or more years in recovery from a mental health condition, substance…

(1) An applicant for a peer support specialist trainee certificate shall submit to the department:(a) An application on forms provided by the department;(b) An attestation that the applicant self-identifies as:(i) Having one or more years in recovery from a mental health conditio…

(1) Except as specified under subsections (2) and (3) of this section, an applicant for certification as a peer support specialist or trainee must meet one of the following requirements:(a) Successful completion of an 80-hour peer services training course and the examinations dev…

(1) A certified peer support specialist trainee shall complete at least 1,000 hours of supervised experience providing volunteer or paid peer support services to participants under the supervision of an approved supervisor who meets the requirements under WAC 246-929-170, includi…

(1) An applicant for the certified peer support specialist credential must show they have obtained the required supervised experience hours in one of the following ways:(a) For experience obtained on or after July 1, 2025, an applicant must complete at least 1,000 hours of volunt…

(1) Except as specified in subsection (2) of this section, an approved supervisor who is eligible to supervise certified peer support specialist trainees must be either:(a) Until July 1, 2028, a behavioral health provider, as defined in RCW 71.24.025, with two years of experience…

(1) A certified peer support specialist shall meet the following before becoming a peer support specialist supervisor candidate:(a) Hold an active peer support specialist certification;(b) Complete at least 1,000 hours of experience after becoming a certified peer support special…

An applicant who obtains one of the following national or international certifications shall be considered to meet the education, training, and experience requirements to receive certification as a certified peer support specialist:(1) National Association of Alcoholism and Drug …

(1) Certified peer support specialists and trainees are required to provide a disclosure statement to each participant prior to starting services.(2) The disclosure statement must contain the following information:(a) The name of the certified peer support specialist or trainee a…

(1) The practice of peer support services includes interventions provided by a certified peer support specialist or trainee with a similar lived experience as the participant. Interventions may include:(a) Activities that assist participants in accessing or engaging in treatment …

Individuals and other entities must report unprofessional conduct in compliance with the Uniform Disciplinary Act in chapter 18.130 RCW and the standards of professional conduct in chapter 246-16 WAC.[Statutory Authority: RCW 18.420.020, chapter 18.420 RCW, and 2023 c 469. WSR 25…

(1) A certified peer support specialist is required to complete a continuing competency program of 30 hours of continuing education or other educational activities every two years.(a) At least 14 hours must be specific to providing peer support services as defined in RCW 18.420.0…

(1) A continuing education program or course must be relevant to peer support services, counseling, or coaching and must contribute to the advancement or enhancement of the professional competence of the credential holder. Courses or workshops primarily designed to increase pract…

Industry-recognized local, state, national and international organizations, and institutions of higher learning include, but are not limited to, the following:(1) Peer Washington;(2) Wellness recovery action plan;(3) National Association of Peer Supporters;(4) The Copeland Center…

(1) A certified peer support specialist must complete training in suicide prevention, including screening and referral, every six years. The training must:(a) Be provided by a single provider;(b) Be at least three hours in length, which may be provided in one or more sessions; an…

A certified peer support specialist must complete training in health equity as part of their continuing education. The certified peer support specialist must complete at least two hours of health equity training every four years. The training may be in-person or virtual but must …

A certified peer support specialist who provides peer services through telemedicine must complete a one-time telemedicine training that complies with RCW 43.70.495.[Statutory Authority: RCW 18.420.020 and 2025 c 360. WSR 25-21-015, s 246-929-340, filed 10/3/25, effective 11/3/25.…

(1) A certified peer support specialist shall renew their credential every two years on the practitioner's birthday. (2) A certified peer support specialist trainee shall renew their credential every year to correspond with the issuance date. This credential may only be renewed f…

The definitions in this section apply throughout this chapter unless the context clearly requires otherwise:(1) "Certified affiliate sex offender treatment provider" or "affiliate" means an individual who is a licensed psychologist, licensed marriage and family therapist, license…

(1) Under RCW 18.155.020 (2), only a person who is a licensed psychologist, licensed marriage and family therapist, licensed social worker, licensed mental health counselor, or psychiatrist as defined in RCW 71.05.020 may be certified as a provider.(2) Under RCW 18.155.030(6), a …