reglab/statecodes huggingface dataset:
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-338 - Medical test site rules › Section 246-338-990 - Fees

Current through Register Vol. 24-14, July 15, 2024
(1) The department
				will assess and collect biennial fees for medical test sites as follows:
(a) Charge fees, based on the requirements
				authorized under
				RCW
				70.42.090 and this section;
(b) Assess additional fees when changes
				listed in WAC
				246-338-026 occur that require a
				different type of license than what the medical test site currently
				holds;
(c) Charge prorated fees for
				the remainder of the two-year cycle when the owner or applicant applies for an
				initial license during a biennium as defined under WAC
				246-338-022(2)(c);
(d) Charge prorated fees for licenses issued
				for less than a two-year period under WAC
				246-338-024(3);
				and
(e) Determine fees according to
				criteria described in Table 990-1.
Table 990-1 License Categories and Fees
Category of
								License
Number of
								Tests/Year
Biennial
								Fee
Certificate of Waiver
N/A
$260
PPMP
N/A
$300
Low Volume
1-2,000 tests
$620
Category A
2,001-10,000 tests, 1-3 specialties
$1,900
Category B
2,001-10,000 tests, 4 or more
								specialties
$2,450
Category C
10,001-25,000 tests, 1-3
								specialties
$3,410
Category D
10,001-25,000 tests, 4 or more
								specialties
$3,910
Category E
25,001-50,000 tests
$4,700
Category F
50,001-75,000 tests
$5,810
Category G
75,001-100,000 tests
$6,930
Category H
100,001-500,000 tests
$8,090
Category I
500,001-1,000,000 tests
$14,390
Category J
[GRETER THAN]1,000,000 tests
$17,260
Accredited:
Low Volume
1-2,000 tests
$230
Category A
2,001-10,000 tests, 1-3 specialties
$290
Category B
2,001-10,000 tests, 4 or more
								specialties
$320
Category C
10,001-25,000 tests, 1-3
								specialties
$730
Category D
10,001-25,000 tests, 4 or more
								specialties
$780
Category E
25,001-50,000 tests
$1,090
Category F
50,001-75,000 tests
$1,740
Category G
75,001-100,000 tests
$2,390
Category H
100,001-500,000 tests
$3,090
Category I
500,001-1,000,000 tests
$8,920
Category J
[GRETER THAN]1,000,000 tests
$11,330
Follow-up survey for deficiencies
Direct staff time
Complaint investigation
Direct staff time
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-339 - Blood establishments › Section 246-339-001 - Purpose

Current through Register Vol. 24-14, July 15, 2024
The purpose of this chapter is to implement chapter 70.335
				  RCW by establishing an online public registry and all necessary requirements
				  for registered blood-collecting or distributing blood establishments or
				  organizations that supply blood products for allogeneic transfusion in
				  Washington state. This public registry of Washington state registered blood
				  establishments is intended to help ensure public transparency, trust, and
				  confidence in the safety of the community blood supply.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-339 - Blood establishments › Section 246-339-010 - Definitions

Current through Register Vol. 24-14, July 15, 2024
The definitions in this section apply throughout this
				  chapter unless the context clearly requires otherwise.
(1) "Allogeneic transfusion" means a blood
				transfusion where the donated blood comes from an individual other than the
				recipient.
(2) "Autologous
				donation" means the infusion or transfer of human blood cells back into the
				individual from whom the cells were recovered.
(3) "Blood establishment" means a
				blood-collecting or distributing blood establishment or organization that
				collects or distributes blood for allogeneic transfusion in Washington state.
				This chapter does not apply to a hospital licensed under chapter 70.41 or 71.12
				RCW unless the hospital collects blood directly from donors for the purpose of
				allogeneic transfusions. For the purposes of this chapter, blood establishment
				does not include organizations that collect source plasma as defined in this
				section.
(4) "Change in standing"
				means that a blood establishment is the subject of titled letters, fines,
				suspensions, or revocations of its United States Food and Drug Administration
				(FDA) license, or judicial consent decrees.
(5) "Department" means the Washington state
				department of health.
(6) "Directed
				donation" means a donation of blood or blood products to a specific recipient
				who is personally known by the donor before donation.
(7) "FDA" means United States Food and Drug
				Administration.
(8) "Judicial
				consent decree" means an agreement between the FDA and a blood establishment
				that outlines steps that a blood establishment must take in order to return to
				full, independent production. The consent decree mandates that a blood
				establishment initiate change, and that change is usually associated with the
				way the blood establishment is manufacturing a product in order to bring it
				into compliance with the FDA's requirements.
(9) "Source plasma" means the fluid portion
				of human blood collected and intended as source material for further
				manufacturing use. The definition excludes single donor plasma products
				intended for intravenous use.
(10)
				"Titled letter" or "warning letter" means an FDA-issued correspondence that
				notifies blood establishments about violations that the FDA has documented
				during its inspections or investigations. Typically, a warning letter notifies
				a responsible individual or firm that the FDA considers one or more products,
				practices, processes, or other activities to be in violation of the Federal
				Food, Drug, and Cosmetic Act (the act), its regulations, and other federal
				statutes.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-339 - Blood establishments › Section 246-339-020 - Registration of a blood establishment

Current through Register Vol. 24-14, July 15, 2024
Starting July 1, 2017, any blood establishment collecting or
				  distributing blood for the purpose of allogeneic transfusion in Washington
				  state must be registered with the department in accordance with chapter 70.335
				  RCW. To be eligible for registration with the department, the blood
				  establishment must hold a current FDA blood establishment license, and must
				  provide to the department proof of the blood establishment's current FDA
				  licensure at the time of initial registration or renewal registration unless
				  the applicant is a hospital that meets the criteria in
				  RCW
				  70.335.020(1). Applicants
				  for initial registration and renewal registration with the department must
				  follow the procedures established under this chapter.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-339 - Blood establishments › Section 246-339-025 - Exemptions for blood establishment registration

Current through Register Vol. 24-14, July 15, 2024
A blood establishment is exempt from the requirements of
				  this chapter if it meets one or more of the following:
(1) Hospitals licensed under chapter 70.41 or
				71.12 RCW unless the hospital collects blood directly from donors for the
				purpose of allogeneic transfusions.
(2) Organizations that collect source plasma
				for the production of plasma derivatives by fractionation.
(3) Cases of individual patient medical need,
				as determined by a qualified health care provider, such as:
(a) An autologous or directed donation as
				defined in WAC
				246-339-010; and
(b) An out-of-state blood establishment that
				supplies blood products for allogeneic transfusion based upon a request from a
				Washington state registered blood establishment in order to meet individual
				patient need, as determined by a qualified health care provider.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-339 - Blood establishments › Section 246-339-030 - Initial application for blood establishment registration

Current through Register Vol. 24-14, July 15, 2024
Initial application procedure. To register with the
				  department a blood establishment must:
(1) Submit a completed application on forms
				provided by the department that are signed by the owner or authorized
				representative that includes all of the following:
(a) The name, current and valid email
				address, mailing address, and telephone number of the blood
				establishment.
(b) Proof of the
				blood establishment's current FDA licensure unless the applicant is a hospital
				that meets the criteria in
				RCW
				70.335.020(1).
(c) A list of all of the blood
				establishment's clients in Washington state as required by chapter 70.335 RCW,
				including current and valid email addresses for all clients of a blood
				establishment.
(d) A copy of any of
				the following disciplinary actions issued upon, or active against, the blood
				establishment's FDA license in the two years prior to submission of the initial
				application to the department:
(i) Titled
				letters, fines, license suspensions, or revocations issued by the
				FDA.
(ii) Judicial consent
				decrees.
(e) Any other
				information required by the department.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-339 - Blood establishments › Section 246-339-035 - Renewal registration process

Current through Register Vol. 24-14, July 15, 2024
(1)
				The department will issue a renewal registration for a Washington state
				registered blood establishment when the owner or authorized representative of
				the blood establishment:
(a) Submits a
				completed application provided by the department at least five working days
				prior to the expiration of the current registration, which is signed by the
				owner or authorized representative that includes the following:
(i) The name, current and valid email
				address, mailing address, and telephone number of the blood
				establishment.
(ii) Proof of the
				blood establishment's current FDA licensure unless the applicant is a hospital
				that meets the criteria in
				RCW
				70.335.020(1).
(iii) A list of all of the blood
				establishment's clients in Washington state as required by chapter 70.335 RCW,
				including current and valid email addresses for all clients of a blood
				establishment.
(iv) A copy of any
				of the following disciplinary actions issued upon, or active against, the blood
				establishment's FDA license in the two years prior to the submission of a
				renewal application to the department:
(A)
				Titled letters, fines, or license suspensions or revocations issued by the
				FDA.
(B) Judicial consent
				decrees.
(v) Any other
				information as required by the department.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-339 - Blood establishments › Section 246-339-040 - Change of ownership requirements

Current through Register Vol. 24-14, July 15, 2024
(1)
				If there is a change in ownership of a Washington state registered blood
				establishment, the new owner must submit to the department within five working
				days of the change in ownership:
(a) New
				blood establishment application packet per WAC
				246-339-030; and
(b) Any applicable fees as required in WAC
				246-339-990.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-339 - Blood establishments › Section 246-339-045 - Blood establishment notification requirements

Current through Register Vol. 24-14, July 15, 2024
A Washington state registered blood establishment will
				  notify the department within fourteen days of a change in standing of its FDA
				  license. The notification will include:
(1) The name, email address, mailing address,
				and telephone number of the blood establishment.
(2) A list of all of the blood
				establishment's clients in Washington including their current and valid email
				addresses.
(3) Copies of any of the
				following disciplinary actions issued upon, or active against, the blood
				establishment's FDA license:
(a) Titled
				letters, fines, or license suspensions or revocations issued by the
				FDA.
(b) Judicial consent
				decrees.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-339 - Blood establishments › Section 246-339-050 - Grounds for action against blood establishments

Current through Register Vol. 24-14, July 15, 2024
(1) The department will deny an initial or
				renewal application for registration if the applicant or Washington state
				registered blood establishment no longer holds a license issued by the
				FDA.
(2) The department may suspend
				or revoke a registration of a Washington state registered blood establishment
				if the blood establishment no longer holds a license issued by the
				FDA.
(3) In accordance with chapter
				70.335 RCW, the department will issue a summary suspension of the registration
				if a Washington state registered blood establishment no longer holds a license
				issued by the FDA. The summary suspension will remain in effect until
				proceedings are completed under
				RCW
				43.70.115 and will be limited to the issue of
				whether the blood establishment is qualified to hold a registration under this
				chapter or chapter 70.335 RCW.
(4)
				The department may investigate and maintain an action under
				RCW
				70.335.050 if a blood establishment has
				operated without having a valid registration under this chapter.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-339 - Blood establishments › Section 246-339-990 - Fees

Current through Register Vol. 24-14, July 15, 2024
(1) Registrations
				must be renewed every year from the date of issuance.
(2) The following nonrefundable fees will be
				charged for registration:
Fee Type
Amount
Initial application fee
$13,000.00
Annual renewal fee
13,000.00
Late renewal fee
300.00
Application fee - Change of ownership
13,000.00
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-341 - Behavioral health agency licensing and certification requirements › BEHAVIORAL HEALTH-PURPOSE AND SCOPE › Section 246-341-0100 - Behavioral health -Purpose and scope

Current through Register Vol. 24-14, July 15, 2024
(1) This chapter
				  establishes state minimum standards for licensed behavioral health
				  agencies.
(2) This chapter does not
				  apply to state psychiatric hospitals as defined in chapter 72.23 RCW or
				  facilities owned or operated by the department of veterans affairs or other
				  agencies of the United States government.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-341 - Behavioral health agency licensing and certification requirements › BEHAVIORAL HEALTH-PURPOSE AND SCOPE › Section 246-341-0110 - Behavioral health -Available certifications

Current through Register Vol. 24-14, July 15, 2024
(1) A behavioral
				  health agency licensed by the department must hold one or more of the following
				  certifications:
(a) Behavioral health
				  information and assistance;
(b)
				  Behavioral health support;
(c)
				  Mental health peer respite;
(d)
				  Clubhouse;
(e) Behavioral health
				  outpatient intervention, assessment and treatment;
(f) Behavioral health outpatient crisis,
				  observation, and intervention;
(g)
				  Designated crisis responder services;
(h) Opioid treatment program;
(i) Withdrawal management;
(j) Behavioral health residential or
				  inpatient intervention, assessment and treatment;
(k) Involuntary behavioral health residential
				  or inpatient;
(l) Intensive
				  behavioral health treatment;
(m)
				  Crisis stabilization unit and triage;
(n) Competency restoration;
(o) Problem gambling and gambling disorder;
				  or
(p) Applied behavior
				  analysis.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-341 - Behavioral health agency licensing and certification requirements › BEHAVIORAL HEALTH-DEFINITIONS › Section 246-341-0200 - Behavioral health -Definitions

Current through Register Vol. 24-14, July 15, 2024
The definitions in this section and
					 RCW
					 71.05.020,
					 71.24.025, and
					 71.34.020 apply throughout this
					 chapter unless the context clearly requires otherwise.
(1) "Administrator" means the designated
				  person responsible for the day-to-day operation of either the licensed
				  behavioral health agency, or certified treatment service, or both.
(2) "Adult" means an individual 18 years of
				  age or older. For purposes of the medicaid program, adult means an individual
				  21 years of age or older.
(3) "ASAM
				  criteria" means admission, continued service, transfer, and discharge criteria
				  for the treatment of substance use disorders as published by the American
				  Society of Addiction Medicine (ASAM).
(4) "Assessment" means the process of
				  obtaining all pertinent bio-psychosocial information, as identified by the
				  individual, and family and collateral sources, for determining a diagnosis and
				  to plan individualized services and supports.
(5) "Behavioral health" means the prevention,
				  treatment of, and recovery from any or all of the following disorders:
				  Substance use disorders, mental health disorders, co-occurring disorders, or
				  problem gambling and gambling disorders.
(6) "Behavioral health agency," "licensed
				  behavioral health agency," or "agency" means an entity licensed by the
				  department to provide behavioral health services under chapter 71.24, 71.05, or
				  71.34 RCW.
(7) "Behavioral health
				  service" means the specific service(s) that may be provided under an approved
				  certification.
(8) "Branch site"
				  means a physically separate licensed site, governed by the same parent
				  organization as the main site, where qualified staff provides certified
				  treatment services.
(9) "Campus"
				  means an area where all of the agency's buildings are located on contiguous
				  properties undivided by:
(a) Public streets,
				  not including alleyways used primarily for delivery services or parking;
				  or
(b) Other land that is not owned
				  and maintained by the owners of the property on which the agency is
				  located.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-341 - Behavioral health agency licensing and certification requirements › BEHAVIORAL HEALTH-AGENCY LICENSURE AND CERTIFICATION › Section 246-341-0300 - Agency licensure and certification-General information

Current through Register Vol. 24-14, July 15, 2024
The department licenses behavioral health agencies and
					 certifies them to provide behavioral health services. To obtain and maintain
					 licensure and certification, an applicant shall meet the requirements of this
					 chapter, applicable local and state rules, and applicable state and federal
					 statutes and regulations.
(1) The
				  following licensure process in this section does not apply to a tribe that is
				  licensed or seeking licensure via attestation as described in WAC
				  246-341-0367.
(2) Initial licensure of a behavioral health
				  agency - Main site. The applicant shall submit a licensing application for a
				  main site to the department that is signed by the agency's designated official.
				  The application must include the following:
(a) The physical address of the
				  agency;
(b) The type of
				  certification(s) the agency is requesting, including the behavioral health
				  services the agency will provide under the type of certification(s);
(c) A statement assuring the location where
				  the services will be provided meets the Americans with Disabilities Act (ADA)
				  standards and that any agency-operated facility where behavioral health
				  services will be provided is:
(i) Suitable for
				  the purposes intended, including having adequate space for private personal
				  consultation with an individual and individual service record storage that
				  adheres to confidentiality requirements;
(ii) Not a personal residence; and
(iii) Approved as meeting all local and state
				  building and safety requirements, as applicable.
(d) Payment of associated fees according to
				  WAC 246-341-0365;
(e) A copy of the applicant's master business
				  license that authorizes the organization to do business in Washington
				  state;
(f) A copy of the disclosure
				  statement and report of findings from a background check of the administrator
				  completed within the previous three months of the application date;
				  and
(g) A copy of the policies and
				  procedures specific to the agency and the certifications and behavioral health
				  services for which the applicant is seeking approval that address all of the
				  applicable requirements of this chapter.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-341 - Behavioral health agency licensing and certification requirements › BEHAVIORAL HEALTH-AGENCY LICENSURE AND CERTIFICATION › Section 246-341-0302 - Agency licensure and certification-Exemptions and alternative means or methods

Current through Register Vol. 24-14, July 15, 2024
The department may grant an exemption or approve
					 alternative means or methods of compliance from any part of this chapter so
					 long as it does not violate an existing state or federal statute or regulation,
					 or tribal law.
(1) An agency can
				  request an exemption or alternative means or methods of compliance by
				  submitting a written request to the department that includes:
(a) The specific section or sections of rules
				  for which the exemption or alternative means or methods of compliance is
				  requested;
(b) An explanation of
				  the circumstances involved;
(c) A
				  proposed alternative that would ensure the safety, health, and treatment of
				  clients meeting the intent of the rule; and
(d) Any supporting research or other
				  documentation, as applicable.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-341 - Behavioral health agency licensing and certification requirements › BEHAVIORAL HEALTH-AGENCY LICENSURE AND CERTIFICATION › Section 246-341-0310 - Agency licensure and certification-Deeming

Current through Register Vol. 24-14, July 15, 2024
(1) The department
				  shall deem an agency or branch site as meeting state minimum standards for
				  licensing and certification described in this chapter as a result of
				  accreditation by a national accreditation organization that is recognized by
				  and has a current agreement with the department.
(2) To implement deemed status when opening a
				  new main site agency, adding a new type of certification or behavioral health
				  service to a main site agency, or adding a new type of certification or
				  behavioral health service to a branch site location that is not currently
				  offered at the main site agency, an agency must:
(a) Submit proof of accreditation for the
				  services provided by the agency to the department; and
(b) Complete a department initial on-site
				  review.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-341 - Behavioral health agency licensing and certification requirements › BEHAVIORAL HEALTH-AGENCY LICENSURE AND CERTIFICATION › Section 246-341-0320 - Agency licensure and certification-On-site reviews and plans of correction

Current through Register Vol. 24-14, July 15, 2024
Each agency is subject to an initial on-site review and
					 each agency that is not deemed in accordance with WAC
					 246-341-0310 is subject to
					 routine, ongoing on-site reviews to determine if the agency is in compliance
					 with the minimum licensure and certification standards.
(1) The agency shall participate in an
				  entrance conference conducted by the department review team representative(s)
				  and an on-site review. This may include:
(a) A
				  review of:
(i) Agency policies and
				  procedures;
(ii) Personnel
				  records;
(iii) Individual service
				  records;
(iv) Facility
				  accessibility;
(v) The agency's
				  internal quality management plan, process, or both, that demonstrates how the
				  agency evaluates program effectiveness and individual participant satisfaction;
				  and
(vi) Any other information,
				  including the criteria in WAC
				  246-341-0335(1)(b),
				  that the department determines to be necessary to confirm compliance with the
				  minimum standards of this chapter; and
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-341 - Behavioral health agency licensing and certification requirements › BEHAVIORAL HEALTH-AGENCY LICENSURE AND CERTIFICATION › Section 246-341-0342 - Agency licensure and certification-Off-site locations

Current through Register Vol. 24-14, July 15, 2024
(1) A behavioral
				  health agency may provide certified services at an off-site location or from a
				  mobile unit under the existing behavioral health agency license.
(2) For the purposes of this section:
(a) "Off-site" means the provision of
				  services by a licensed behavioral health agency at a location where the
				  assessment or treatment is not the primary purpose of the site, such as in
				  schools, hospitals, long-term care facilities, correctional facilities, an
				  individual's residence, the community, or housing provided by or under an
				  agreement with the agency.
(b)
				  "Established off-site location" means a location that is regularly used and set
				  up to provide services rather than a location used on an individual,
				  case-by-case basis.
(c) "Mobile
				  unit" means a vehicle, lawfully used on public streets, roads, or highways with
				  more than three wheels in contact with the ground, from which behavioral health
				  services are provided at a nonpermanent location(s).
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-341 - Behavioral health agency licensing and certification requirements › BEHAVIORAL HEALTH-AGENCY LICENSURE AND CERTIFICATION › Section 246-341-0365 - Agency licensure and certification-Fee requirements

Current through Register Vol. 24-14, July 15, 2024
(1) An agency must
				  include payment of licensing and certification fees required under this chapter
				  with the initial application, renewal application, or with requests for other
				  services.
(2) The department may
				  refund one-half of the application fee if an application is withdrawn before
				  certification or denial.
(3) The
				  department will not refund fees when licensure or certification is denied,
				  revoked, or suspended.
(4) The
				  applicant shall submit the following fees for approved substance use disorder
				  treatment programs:
New agency application
$1,000
Branch agency application
$500
Application to add one or more
								certifications
$200
Application to change ownership
$500
Initial and annual certification fees for
								withdrawal management, residential, and nonresidential services
Withdrawal management and residential
								services
$100 per licensed bed, per year, for agencies not
								renewing certification through deeming
$50 per licensed bed, per year, for agencies
								renewing certification through deeming per WAC
								246-341-0310
Nonresidential services
$750 per year for agencies not renewing
								certification through deeming
$200 per year for agencies certified through
								deeming per WAC
								246-341-0310
Complaint/critical incident investigation
								fees
All agencies
$1,000 per substantiated complaint investigation
								and $1,000 per substantiated critical incident investigation that results in a
								requirement for corrective action
(5)
				  An agency providing substance use disorder treatment programs must annually
				  complete a declaration form provided by the department to indicate information
				  necessary for establishing fees and updating certification information.
				  Required information includes, but is not limited to:
(a) The number of licensed withdrawal
				  management and residential beds; and
(b) The agency provider's national
				  accreditation status.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-341 - Behavioral health agency licensing and certification requirements › BEHAVIORAL HEALTH-AGENCY LICENSURE AND CERTIFICATION › Section 246-341-0367 - Agency licensure and certification-Fee requirements for tribal attestations

Current through Register Vol. 24-14, July 15, 2024
(1) A
				  tribe may attest that its behavioral health agency meets state minimum
				  standards for a licensed or certified behavioral health agency, as described by
				  the definition of "licensed or certified behavioral health agency" in
				  RCW
				  71.24.025.
(2) A tribe that is pursuing attestation with
				  the department must submit a two hundred sixty-one dollar administrative
				  processing fee to the department for any new or renewed attestation.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-341 - Behavioral health agency licensing and certification requirements › BEHAVIORAL HEALTH-AGENCY LICENSURE AND CERTIFICATION › Section 246-341-0370 - Agency licensure and certification-Appealing a department decision

Current through Register Vol. 24-14, July 15, 2024
An agency may appeal a decision made by the department
					 regarding agency licensure or certification, according to WAC
					 246-341-0335.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-341 - Behavioral health agency licensing and certification requirements › BEHAVIORAL HEALTH-AGENCY ADMINISTRATION › Section 246-341-0400 - Agency administration-Governing body requirements

Current through Register Vol. 24-14, July 15, 2024
A governing body is the entity with legal authority and
					 responsibility for the operation of the behavioral health agency, to include
					 its officers, board of directors or the trustees of a corporation or limited
					 liability company. An agency's governing body is responsible for the conduct
					 and quality of the behavioral health services provided. The agency's governing
					 body must:
(1) Assure there is an
				  administrator responsible for the day-to-day operation of services;
(2) Maintain a current job description for
				  the administrator, including the administrator's authority and duties;
				  and
(3) Notify the department
				  within thirty days of changing the administrator.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-341 - Behavioral health agency licensing and certification requirements › BEHAVIORAL HEALTH-AGENCY ADMINISTRATION › Section 246-341-0410 - Agency administration- Administrator key responsibilities

Current through Register Vol. 24-14, July 15, 2024
(1) The agency
				  administrator is responsible for the day-to-day operation of the agency's
				  provision of certified behavioral health treatment services, including:
(a) All administrative matters;
(b) Individual care services; and
(c) Meeting all applicable rules, policies,
				  and ethical standards.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-341 - Behavioral health agency licensing and certification requirements › BEHAVIORAL HEALTH-AGENCY ADMINISTRATION › Section 246-341-0420 - Agency policies and procedures

Current through Register Vol. 24-14, July 15, 2024
Each agency licensed by the department to provide any
					 behavioral health service must develop, implement, and maintain policies and
					 procedures that address all of the applicable licensing and certification
					 requirements of this chapter including administrative and personnel policies
					 and procedures. Administrative policies and procedures must demonstrate the
					 following, as applicable:
(1)
				  Ownership. Documentation of the agency's governing body, including a
				  description of membership and authorities, and documentation of the agency's:
(a) Articles and certificate of incorporation
				  and bylaws if the owner is a corporation;
(b) Partnership agreement if the owner is a
				  partnership; or
(c) Sole
				  proprietorship if one person is the owner.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-341 - Behavioral health agency licensing and certification requirements › BEHAVIORAL HEALTH-AGENCY ADMINISTRATION › Section 246-341-0425 - Agency administration-Individual service record system

Current through Register Vol. 24-14, July 15, 2024
Each behavioral health agency must:
(1) Maintain a comprehensive individual
				  service record system that includes policies and procedures that protect an
				  individual's personal health information;
(2) Ensure that the individual's personal
				  health information is shared or released only in compliance with applicable
				  state and federal law;
(3) If
				  maintaining electronic individual service records:
(a) Provide secure, limited access through
				  means that prevent modification or deletion after initial
				  preparation;
(b) Provide for a
				  backup of records in the event of equipment, media, or human error;
(c) Provide for protection from unauthorized
				  access, including network and internet access;
(d) Provide that each entry made in an
				  individual's individual service record clearly identifies the author and who
				  approved the entry, if applicable; and
(e) Prohibit agency employees from using
				  another employee's credentials to access, author, modify, or delete an entry
				  from an individual's individual service record;
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-341 - Behavioral health agency licensing and certification requirements › BEHAVIORAL HEALTH-PERSONNEL › Section 246-341-0510 - Personnel-Agency record requirements

Current through Register Vol. 24-14, July 15, 2024
A behavioral health agency must maintain a personnel
					 record for each person employed by the agency.
(1) The personnel record must contain all of
				  the following:
(a) A signed position
				  description.
(b) A signed and dated
				  commitment to maintain patient (individual) confidentiality in accordance with
				  state and federal confidentiality requirements.
(c) A record of an orientation to the agency
				  within 90 days of hire that includes all of the following:
(i) An overview of the agency's policies and
				  procedures.
(ii) Staff ethical
				  standards and conduct, including reporting of unprofessional conduct to
				  appropriate authorities.
(iii) The
				  process for resolving client concerns.
(iv) Cultural competency.
(v) Violence prevention training on the
				  safety and violence prevention topics described in
				  RCW
				  49.19.030.
(vi) If providing substance use disorder
				  services, prevention and control of communicable disease, bloodborne pathogens,
				  and tuberculosis.
(d) A
				  record of annual training that includes:
(i)
				  Cultural competency; and
(ii) If
				  providing substance use disorder services, prevention and control of
				  communicable disease, bloodborne pathogens, and tuberculosis.
(e) A record of violence
				  prevention training on the safety and violence prevention topics described in
				  RCW
				  49.19.030; annually for employees working
				  directly with clients receiving mental health services per
				  RCW
				  71.05.720 or according to the agency's
				  workplace violence plan required per
				  RCW
				  49.19.020.
(f) A copy of the staff member's valid
				  current credential issued by the department if they provide clinical
				  services.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-341 - Behavioral health agency licensing and certification requirements › BEHAVIORAL HEALTH-PERSONNEL › Section 246-341-0515 - Personnel-Agency staff requirements

Current through Register Vol. 24-14, July 15, 2024
Each behavioral health agency must ensure that all of the
					 following staff requirements are met:
(1) All staff providing clinical services are
				  appropriately credentialed for the services they provide, which may include a
				  co-occurring disorder specialist enhancement.
(2) All staff providing clinical services
				  receive clinical super-vision.
(3)
				  An agency providing group counseling or group therapy must have a staff ratio
				  of at least one staff member to every 16 individuals during group counseling or
				  therapy sessions. (4) A mental health professional is:
(a) A psychiatrist, psychologist, physician
				  assistant working with a supervising psychiatrist, psychiatric advanced
				  registered nurse practitioner (ARNP), psychiatric nurse, or social worker as
				  defined in chapters 71.05 and 71.34 RCW;
(b) A person who is licensed by the
				  department as a mental health counselor or mental health counselor associate,
				  marriage and family therapist, or marriage and family therapist associate;
				  or
(c) An agency staff member with
				  a designation given by the department or an attestation by the licensed
				  behavioral health agency that the person meets the following:
(i) Holds a master's degree or further
				  advanced degree in counseling or one of the social sciences from an accredited
				  college or university who has at least two years of experience in direct
				  treatment of persons with mental illness or emotional disturbance, experience
				  that was gained under the supervision of a mental health professional
				  recognized by the department or attested to by the licensed behavioral health
				  agency;
(ii) Who meets the waiver
				  criteria of
				  RCW
				  71.24.260, and the waiver was granted prior
				  to 1986; or
(iii) Who had an
				  approved waiver to perform the duties of a mental health professional (MHP),
				  that was requested by the behavioral health organization (BHO) and granted by
				  the mental health division prior to July 1, 2001.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-341 - Behavioral health agency licensing and certification requirements › BEHAVIORAL HEALTH-PERSONNEL › Section 246-341-0520 - Personnel-Agency requirements for supervision of trainees, interns, volunteers, and students

Current through Register Vol. 24-14, July 15, 2024
Each agency licensed by the department to provide any
					 behavioral health service must ensure the following supervision requirements
					 are met for trainees, interns, volunteers, and students:
(1) Each trainee, intern, volunteer, and
				  student with unsupervised access to individuals receiving services obtains a
				  background check and submits a disclosure statement consistent with
				  RCW
				  43.43.830 through
				  43.43.842;
(2) Each trainee, intern, volunteer, and
				  student who receives clinical training must receive clinical supervision that
				  includes review of clinical documentation with the trainee, intern, volunteer,
				  or student as part of the supervision process; and
(3) The agency must obtain and retain a
				  confidentiality statement signed by the trainee, intern, volunteer, and student
				  and the person's academic supervisor, if applicable.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-341 - Behavioral health agency licensing and certification requirements › BEHAVIORAL HEALTH-GENERAL REQUIREMENTS › Section 246-341-0600 - Individual rights

Current through Register Vol. 24-14, July 15, 2024
(1) Each behavioral
				  health agency must protect and promote individual participant rights applicable
				  to the services the agency is certified to provide in compliance with this
				  chapter, and chapters 70.41, 71.05, 71.12, 71.24, and 71.34 RCW, as
				  applicable.
(2) Each agency must
				  develop a statement of individual participant rights applicable to the services
				  the agency is certified to provide, to ensure an individual's rights are
				  protected in compliance with chapters 70.41, 71.05, 71.12, 71.24, and 71.34
				  RCW, as applicable. To the extent that the rights set out in those chapters do
				  not specifically address the rights in this subsection or are not applicable to
				  all of the agency's services, the agency must develop a general statement of
				  individual participant rights that incorporates at a minimum the following
				  statements.
"You have the right to:"
(a) Receive services without regard to race,
				  creed, national origin, religion, gender, sexual orientation, age or
				  disability;
(b) Practice the
				  religion of choice as long as the practice does not infringe on the rights and
				  treatment of others or the treatment service. Individual participants have the
				  right to refuse participation in any religious practice;
(c) Be reasonably accommodated in case of
				  sensory or physical disability, limited ability to communicate, limited-English
				  proficiency, and cultural differences;
(d) Be treated with respect, dignity and
				  privacy, except that staff may conduct reasonable searches to detect and
				  prevent possession or use of contraband on the premises or to address risk of
				  harm to the individual or others. "Reasonable" is defined as minimally invasive
				  searches to detect contraband or invasive searches only upon the initial intake
				  process or if there is reasonable suspicion of possession of contraband or the
				  presence of other risk that could be used to cause harm to self or
				  others;
(e) Be free of any sexual
				  harassment;
(f) Be free of
				  exploitation, including physical and financial exploitation;
(g) Have all clinical and personal
				  information treated in accord with state and federal confidentiality
				  regulations;
(h) Participate in the
				  development of your individual service plan and receive a copy of the plan if
				  desired;
(i) Make a mental health
				  advance directive consistent with chapter 71.32 RCW;
(j) Review your individual service record in
				  the presence of the administrator or designee and be given an opportunity to
				  request amendments or corrections; and
(k) Submit a report to the department when
				  you feel the agency has violated your rights or a WAC requirement regulating
				  behavioral health agencies.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-341 - Behavioral health agency licensing and certification requirements › BEHAVIORAL HEALTH-GENERAL REQUIREMENTS › Section 246-341-0605 - Complaint process

Current through Register Vol. 24-14, July 15, 2024
(1) Any person may
				  submit a report to the department of an alleged violation of licensing and
				  certification laws and rules.
(2)
				  Health care professionals credentialed by the department shall comply with the
				  mandatory reporting requirements in chapters 18.130 RCW and 246-16
				  WAC.
(3) If the department
				  determines a report should be investigated, the report becomes a complaint. If
				  the department conducts a complaint investigation, behavioral health agency
				  representatives must cooperate to allow department representatives to:
(a) Examine any part of the facility at
				  reasonable times and as needed;
(b)
				  Review and evaluate agency records including, but not limited to:
(i) An individual's individual service record
				  and personnel file; and
(ii) The
				  agency's policies, procedures, fiscal records, and any other documents required
				  by the department to determine compliance and to resolve the complaint;
				  and
(c) Conduct
				  individual interviews with staff members and individuals receiving
				  services.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-341 - Behavioral health agency licensing and certification requirements › CERTIFICATION AND SERVICE STANDARDS FOR BEHAVIORAL HEALTH INFORMATION AND ASSISTANCE SERVICES › Section 246-341-0660 - Behavioral health information and assistance- Certification standards

Current through Register Vol. 24-14, July 15, 2024
(1) Agencies
				  certified for behavioral health information and assistance services provide
				  information and assistance services that are considered nontreatment behavioral
				  health services that support an individual who has a need for interventions
				  related to behavioral health. Behavioral health information and assistance
				  services under this certification include services such as:
(a) Crisis telephone support in accordance
				  with the service standards in WAC
				  246-341-0670; and
(b) Emergency service patrol in accordance
				  with the service standards in WAC
				  246-341-0680.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-341 - Behavioral health agency licensing and certification requirements › CERTIFICATION AND SERVICE STANDARDS FOR BEHAVIORAL HEALTH INFORMATION AND ASSISTANCE SERVICES › Section 246-341-0670 - Crisis telephone support services-Service standards

Current through Register Vol. 24-14, July 15, 2024
Crisis telephone support services are services provided as
					 a means of first contact for an individual in crisis or need of assistance.
					 These services may include de-escalation and referral.
(1) A behavioral health agency providing
				  crisis telephone support services must:
(a)
				  Have services available 24 hours per day, seven days per week;
(b) Assure communication and coordination
				  with the individual's mental health or substance use treatment provider, if
				  indicated and appropriate;
(c)
				  Remain on the phone with an individual in crisis in order to provide
				  stabilization and support until the crisis is resolved or referral to another
				  service is accomplished;
(d) As
				  appropriate, refer individuals to voluntary or involuntary treatment facilities
				  for admission on a seven day a week, 24 hour a day basis, including
				  arrangements for contacting the designated crisis responder; and
(e) Develop and implement policies and
				  procedures for training staff to identify and assist individuals in crisis
				  before assigning the staff member to unsupervised duties.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-341 - Behavioral health agency licensing and certification requirements › CERTIFICATION AND SERVICE STANDARDS FOR BEHAVIORAL HEALTH INFORMATION AND ASSISTANCE SERVICES › Section 246-341-0680 - Emergency service patrol-Service standards

Current through Register Vol. 24-14, July 15, 2024
Emergency service patrol services provide transport
					 assistance to an intoxicated individual in a public place when a request has
					 been received from police, merchants, or other persons. A behavioral health
					 agency providing emergency service patrol services must:
(1) Ensure the staff member providing the
				  service:
(a) Has proof of a valid Washington
				  state driver's license;
(b)
				  Possesses annually updated verification of first-aid and cardiopulmonary
				  resuscitation training; and
(c) Has
				  completed 40 hours of training in substance use disorder crisis intervention
				  techniques and alcoholism and substance use disorder, to improve skills in
				  handling crisis situations.