reglab/statecodes huggingface dataset:
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-918 - Physician assistants Washington medical commission › OPIOID PRESCRIBING-CHRONIC PAIN MANAGEMENT › Section 246-918-885 - Consultation-Exemptions for exigent and special circumstances-Chronic pain

Current through Register Vol. 24-14, July 15, 2024
A physician assistant is not required to consult with a
					 pain management specialist as defined in WAC 246-918-895 when the physician
					 assistant has documented adherence to all standards of practice as defined in
					 WAC 246-918-855 through 246-918-875 and when one or more of the following
					 conditions are met:
(1) The patient is
				  following a tapering schedule;
(2)
				  The patient requires treatment for acute pain, which may or may not include
				  hospitalization, requiring a temporary escalation in opioid dosage, with an
				  expected return to their baseline dosage level or below;
(3) The physician assistant documents
				  reasonable attempts to obtain a consultation with a pain management specialist
				  and the circumstances justifying prescribing above one hundred twenty
				  milligrams morphine equivalent dose (MED) per day without first obtaining a
				  consultation; or
(4) The physician
				  assistant documents the patient's pain and function are stable and the patient
				  is on a nonescalating dosage of opioids.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-918 - Physician assistants Washington medical commission › OPIOID PRESCRIBING-CHRONIC PAIN MANAGEMENT › Section 246-918-890 - Consultation-Exemptions for the physician assistant-Chronic pain

Current through Register Vol. 24-14, July 15, 2024
The physician assistant is exempt from the consultation
					 requirement in WAC 246-918-880 if one or more of the following qualifications
					 are met:
(1) The physician assistant
				  is a pain management specialist under WAC 246-918-895;
(2) The physician assistant has successfully
				  completed a minimum of twelve category I continuing education hours on chronic
				  pain management within the previous four years. At least two of these hours
				  must be dedicated to substance use disorders;
(3) The physician assistant is a pain
				  management physician assistant working in a multidisciplinary chronic pain
				  treatment center or a multidisciplinary academic research facility;
				  or
(4) The physician assistant has
				  a minimum of three years of clinical experience in a chronic pain management
				  setting, and at least thirty percent of their current practice is the direct
				  provision of pain management care.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-918 - Physician assistants Washington medical commission › OPIOID PRESCRIBING-CHRONIC PAIN MANAGEMENT › Section 246-918-895 - Pain management specialist-Chronic pain

Current through Register Vol. 24-14, July 15, 2024
A pain management specialist shall meet one or more of the
					 following qualifications:
(1) If an
				  allopathic physician assistant or osteopathic physician assistant must have a
				  delegation agreement with a physician pain management specialist and meets the
				  educational requirements and practice requirements listed below:
(a) A minimum of three years of clinical
				  experience in a chronic pain management care setting;
(b) Credentialed in pain management by an
				  entity approved by the commission for an allopathic physician assistant or the
				  Washington state board of osteopathic medicine and surgery for an osteopathic
				  physician assistant;
(c) Successful
				  completion of a minimum of at least eighteen continuing education hours in pain
				  management during the past two years; and
(d) At least thirty percent of the physician
				  assistant's current practice is the direct provision of pain management care or
				  in a multidisciplinary pain clinic.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-918 - Physician assistants Washington medical commission › OPIOID PRESCRIBING-CHRONIC PAIN MANAGEMENT › Section 246-918-900 - Tapering considerations-Chronic pain

Current through Register Vol. 24-14, July 15, 2024
The physician assistant shall consider tapering or
					 referral for a substance use disorder evaluation when:
(1) The patient requests;
(2) The patient experiences a deterioration
				  in function or pain;
(3) The
				  patient is noncompliant with the written agreement;
(4) Other treatment modalities are
				  indicated;
(5) There is evidence of
				  misuse, abuse, substance use disorder, or diversion;
(6) The patient experiences a severe adverse
				  event or overdose;
(7) There is
				  unauthorized escalation of doses; or
(8) The patient is receiving an escalation in
				  opioid dosage with no improvement in their pain or function.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-918 - Physician assistants Washington medical commission › OPIOID PRESCRIBING-CHRONIC PAIN MANAGEMENT › Section 246-918-905 - Patients with chronic pain, including those on high doses of opioids, establishing a relationship with a new physician assistant

Current through Register Vol. 24-14, July 15, 2024
(1) When a patient receiving chronic opioid
				  pain medications changes to a new physician assistant, it is normally
				  appropriate for the new physician assistant to initially maintain the patient's
				  current opioid doses. Over time, the physician assistant may evaluate if any
				  tapering or other adjustments in the treatment plan can or should be
				  done.
(2) A physician assistant's
				  treatment of a new high dose chronic pain patient is exempt from the mandatory
				  consultation requirements of WAC 246-918-880 if:
(a) The patient was previously being treated
				  with a dosage of opioids in excess of a one hundred twenty milligram MED for
				  chronic pain under an established written agreement for treatment of the same
				  chronic condition or conditions;
(b) The patient's dose is stable and
				  nonescalating;
(c) The patient has
				  a history of compliance with treatment plans and written agreements documented
				  by medical records and PMP queries; and
(d) The patient has documented functional
				  stability, pain control, or improvements in function or pain control at the
				  presenting opioid dose.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-918 - Physician assistants Washington medical commission › OPIOID PRESCRIBING-SPECIAL POPULATIONS › Section 246-918-910 - Special populations-Children or adolescent patients, pregnant patients, and aging populations

Current through Register Vol. 24-14, July 15, 2024
(1) Children or
				  adolescent patients. In the treatment of pain for children or adolescent
				  patients, the physician assistant 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 accordingly.
(2)
				  Pregnant patients. The physician assistant shall not initiate opioid
				  detoxification without consultation with a provider with expertise in addiction
				  medicine. Medication assisted treatment for opioids, such as methadone or
				  buprenorphine, must not be discontinued during pregnancy without consultation
				  with a MAT prescribing practitioner.
(3) Aging populations. As people age, their
				  sensitivities to and metabolizing of opioids may change. The physician
				  assistant shall consider the distinctive needs of patients who are sixty-five
				  years of age or older and who have been on chronic opioid therapy or who are
				  initiating opioid treatment.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-918 - Physician assistants Washington medical commission › OPIOID PRESCRIBING-SPECIAL POPULATIONS › Section 246-918-915 - Episodic care of chronic opioid patients

Current through Register Vol. 24-14, July 15, 2024
(1) When providing episodic care for a
				  patient who the physician assistant knows is being treated with opioids for
				  chronic pain, such as for emergency or urgent care, the physician assistant, or
				  their designee, shall review the PMP and document their review and any
				  concerns.
(2) A physician assistant
				  providing episodic care to a patient who the physician assistant knows is being
				  treated with opioids for chronic pain should provide additional analgesics,
				  including opioids when appropriate, to adequately treat acute pain. If opioids
				  are provided, the physician assistant shall limit the use of opioids to the
				  minimum amount necessary to control the acute pain until the patient can
				  receive care from the practitioner who is managing the patient's chronic
				  pain.
(3) The episodic care
				  physician assistant shall coordinate care with the patient's chronic pain
				  treatment practitioner, if possible.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-918 - Physician assistants Washington medical commission › OPIOID PRESCRIBING-COPRESCRIBING › Section 246-918-920 - Coprescribing of opioids with certain medications

Current through Register Vol. 24-14, July 15, 2024
(1) The physician assistant shall not
				  knowingly prescribe opioids in combination with the following medications
				  without documentation of medical decision making:
(a) Benzodiazepines;
(b) Barbiturates;
(c) Sedatives;
(d) Carisoprodol; or
(e) Nonbenzodiazepine hypnotics.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-918 - Physician assistants Washington medical commission › OPIOID PRESCRIBING-COPRESCRIBING › Section 246-918-925 - Coprescribing of opioids for patients receiving medication assisted treatment

Current through Register Vol. 24-14, July 15, 2024
(1) Where
				  practicable, the physician assistant providing acute nonoperative pain or acute
				  perioperative pain treatment to a patient who is known to be receiving MAT
				  medications shall prescribe opioids when appropriate for pain relief either in
				  consultation with a MAT prescribing practitioner or a pain
				  specialist.
(2) The physician
				  assistant providing acute nonoperative pain or acute perioperative pain
				  treatment shall not discontinue MAT medications without documentation of the
				  reason for doing so, nor shall the use of these medications be used to deny
				  necessary operative intervention.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-918 - Physician assistants Washington medical commission › OPIOID PRESCRIBING-COPRESCRIBING › Section 246-918-930 - Coprescribing of naloxone

Current through Register Vol. 24-14, July 15, 2024
The opioid prescribing physician assistant shall confirm
					 or provide a current prescription for naloxone when opioids are prescribed to a
					 high-risk patient.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-918 - Physician assistants Washington medical commission › OPIOID PRESCRIBING-PRESCRIPTION MONITORING PROGRAM › Section 246-918-935 - Prescription monitoring program-Required registration, queries, and documentation

Current through Register Vol. 24-14, July 15, 2024
(1) The
				  physician assistant shall register to access the PMP or demonstrate proof of
				  having assured access to the PMP if they prescribe Schedule II-V medications in
				  Washington state.
(2) The physician
				  assistant is permitted to delegate performance of a required PMP query to an
				  authorized designee.
(3) At a
				  minimum, the physician assistant shall ensure a PMP query is performed prior to
				  the prescription of an opioid or of a medication listed in WAC 246-918-920 at
				  the following times:
(a) Upon the first
				  refill or renewal of an opioid prescription for acute nonoperative pain or
				  acute perioperative pain;
(b) The
				  time of transition from acute to subacute pain; and
(c) The time of transition from subacute to
				  chronic pain.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-918 - Physician assistants Washington medical commission › FEES › Section 246-918-990 - Physician assistants fees and renewal cycle

Current through Register Vol. 24-14, July 15, 2024
(1) Licenses must be renewed every two years
				  on the practitioner's birthday as provided in chapter 246-12 WAC, Part
				  2.
(2) The applicant or licensee
				  must pay the following nonrefundable fees:
Title of Fee
Fee
Physician assistants:
Original application
Application
$50.00
UW HEAL-WA surcharge*
16.00
Washington physician health program surcharge
50.00
Active license renewal
Two-year renewal
247.00
UW HEAL-WA surcharge*
32.00
Washington physician health program surcharge*
100.00
Late renewal fee
124.00
Expired license reissuance
50.00
Retired active license renewal
Two-year renewal
35.00
Washington physician health program surcharge*
100.00
Late renewal fee
35.00
Duplicate license
15.00
* The Washington physician health program surcharge
								(RCW
								18.71A.020(3) ) is assessed
								at $50.00 per year, and the University of Washington (UW) HEAL-WA web portal
								access fee (RCW
								43.70.110 ) assessed at $16.00 per
								year.
** The Washington physician health program
								surcharge is assessed at $50.00 per year.
Statutory Authority:
						RCW
						43.70.110(3)(c) and
						43.70.250. 12-19-088, §
						246-918-990, filed 9/18/12, effective 11/1/12. Statutory Authority:
						RCW
						43.70.250,
						43.70.280, 18.31.310,
						18.71A.020,
						18.71.080, and
						43.70.110. 09-16-120, §
						246-918-990, filed 8/4/09, effective 8/15/09. Statutory Authority:
						RCW
						43.70.110,
						43.70.250, 2008 c 329. 08-15-014,
						§ 246-918-990, filed 7/7/08, effective 7/7/08. Statutory Authority:
						RCW
						43.70.250. 06-11-167, § 246-918-990,
						filed 5/24/06, effective 7/1/06. Statutory Authority:
						RCW
						43.70.250, [43.70.]280 and 43.70.110.
						05-12-012, § 246-918-990, filed 5/20/05, effective 7/1/05. Statutory
						Authority:
						RCW
						18.71.017,
						18.71A.020 and
						43.70.280. 02-05-009, §
						246-918-990, filed 2/8/02, effective 3/11/02. Statutory Authority:
						RCW
						18.71.017,
						18.130.050(1),
						18.130.040(4),
						18.130.050(12) 
						and 18.130.340. 99-23-090, §
						246-918-990, filed 11/16/99, effective 1/1/00. Statutory Authority:
						RCW
						18.71.017 and
						18.71A.020(3).
						99-13-087, § 246-918-990, filed 6/14/99, effective 7/15/99. Statutory
						Authority:
						RCW
						43.70.280. 98-05-060, § 246-918-990,
						filed 2/13/98, effective 3/16/98. Statutory Authority:
						RCW
						18.71.017 and
						18.71A.020. 96-03-073, §
						246-918-990, filed 1/17/96, effective 2/17/96. Statutory Authority:
						RCW
						43.70.040. 91-06-027 (Order 131), §
						246-918-990, filed 2/26/91, effective
						3/29/91.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-919 - Washington medical commission › Section 246-919-010 - 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) "Applicant" is an individual who has
				completed the application form and has paid the application fee.
(2) "Commission" means the Washington medical
				commission.
(3) "Emergent" means a
				circumstance calling for immediate action.
(4) "Hospital" means any health care
				institution licensed under chapter 70.41 RCW.
(5) "Intermittent" means providing services
				on a part-time or full-time nonpermanent basis.
(6) "Physician" means a person licensed under
				chapter 18.71 RCW.
(7)
				"Unprofessional conduct" means the conduct described in
				RCW
				18.130.180.
Statutory Authority:
					 RCW
					 18.71.017,
					 18.130.250,
					 18.71.440. 11-05-025, §
					 246-919-010, filed 2/7/11, effective 3/10/11. Statutory Authority:
					 RCW
					 18.71.017 and
					 18.71A.020. 96-03-073, §
					 246-919-010, filed 1/17/96, effective
					 2/17/96.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-919 - Washington medical commission › Section 246-919-020 - Commission address

Current through Register Vol. 24-14, July 15, 2024
The commission's official mailing address is:
Washington Medical Commission
Department of Health
P.O. Box 47866
Olympia, WA 98504-7866
Statutory Authority:
					 RCW
					 18.71.017 and
					 18.71A.020. 96-03-073, §
					 246-919-020, filed 1/17/96, effective
					 2/17/96.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-919 - Washington medical commission › Section 246-919-110 - Commission meetings

Current through Register Vol. 24-14, July 15, 2024
Regular commission meetings shall be held at least four times
				  yearly. Additional regular or special meetings may be called at the discretion
				  of the chair or by a quorum of the commission.
Statutory Authority:
					 RCW
					 18.71.017. 04-04-067, § 246-919-110,
					 filed 2/2/04, effective 3/4/04. Statutory Authority:
					 RCW
					 18.71.017 and
					 18.71A.020. 96-03-073, §
					 246-919-110, filed 1/17/96, effective
					 2/17/96.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-919 - Washington medical commission › APPLICATIONS AND EXAMINATIONS › Section 246-919-300 - Application withdrawals

Current through Register Vol. 24-14, July 15, 2024
An application for a license may not be withdrawn after the
					 commission determines that grounds exist for denial of the license or for the
					 issuance of a conditional license. Applications that are subject to
					 investigation for unprofessional conduct or impaired practice may not be
					 withdrawn.
Statutory Authority:
						RCW
						18.71.017 and
						18.71A.020. 96-03-073, §
						246-919-300, filed 1/17/96, effective
						2/17/96.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-919 - Washington medical commission › APPLICATIONS AND EXAMINATIONS › Section 246-919-310 - Credentialing of physicians and surgeons (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						18.71.017 and
						18.71A.020. 96-03-073, §
						246-919-310, filed 1/17/96, effective
						2/17/96.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-919 - Washington medical commission › APPLICATIONS AND EXAMINATIONS › Section 246-919-320 - Approved United States and Canadian medical schools

Current through Register Vol. 24-14, July 15, 2024
For the purposes of
					 RCW
					 18.71.055, the commission approves medical
					 schools accredited by the Liaison Committee on Medical
					 Education.
Statutory Authority:
						RCW
						18.71.017. 04-04-067, § 246-919-320,
						filed 2/2/04, effective 3/4/04. Statutory Authority:
						RCW
						18.71.017 and
						18.71A.020. 96-03-073, §
						246-919-320, filed 1/17/96, effective
						2/17/96.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-919 - Washington medical commission › APPLICATIONS AND EXAMINATIONS › Section 246-919-330 - Postgraduate medical training

Current through Register Vol. 24-14, July 15, 2024
(1) Postgraduate
				  medical training means clinical training approved by the commission in general
				  medicine or surgery, or a specialty or subspecialty in the field of medicine or
				  surgery as recognized by the American Board of Medical Specialties listed in
				  the 2017-2018 ABMS Board Certification Report and new specialties or
				  subspecialties approved by the commission.
(2) The commission approves only the
				  following postgraduate clinical training courses:
(a) Programs accredited by the Accreditation
				  Council for Graduate Medical Education (ACGME) at the time of
				  residency.
(b) Programs accredited
				  by the Royal College of Physicians and Surgeons of Canada (RCPSC) or the
				  College of Family Physicians of Canada (CFPC), or programs accredited by the
				  RCPSC or CFPC at the time of residency.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-919 - Washington medical commission › APPLICATIONS AND EXAMINATIONS › Section 246-919-340 - Additional requirements for international medical school graduates

Current through Register Vol. 24-14, July 15, 2024
All graduates of medical schools outside the United States,
					 Canada, or Puerto Rico must satisfy one of the following requirements:
(1) Held a full and unrestricted license to
				  practice medicine in another state prior to 1958;
(2) Obtained a certificate with an indefinite
				  status granted by the Educational Commission for Foreign Medical Graduates
				  (ECFMG); or
(3) Successfully
				  completed one year of supervised academic clinical training in the United
				  States, commonly referred to as a Fifth Pathway program.
Statutory Authority:
						RCW
						18.71.017,
						18.71.050 and
						chapter
						18.71 RCW. 01-18-086,
						§ 246-919-340, filed 9/5/01, effective 10/6/01. Statutory Authority:
						RCW
						18.71.017 and
						18.71A.020. 96-03-073, §
						246-919-340, filed 1/17/96, effective
						2/17/96.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-919 - Washington medical commission › APPLICATIONS AND EXAMINATIONS › Section 246-919-345 - Limited physician and surgeon clinical experience license

Current through Register Vol. 24-14, July 15, 2024
(1) The commission
				  may issue a limited physician and surgeon clinical experience license to an
				  applicant who does not qualify for licensure under
				  RCW
				  18.71.050 or chapter 18.71B RCW and who does
				  meet the requirements established in
				  RCW
				  18.71.095(6) for the purpose
				  of gaining clinical experience at an approved facility or program.
(2) An appropriate medical practice, as
				  referenced in
				  RCW
				  18.71.095(6)(a), is a
				  practice that meets the following criteria:
(a) The practice is physically located in the
				  state of Washington and is providing clinical care to Washington
				  patients.
(b) The practice falls
				  within one of the following categories:
(i)
				  Is a practice setting within a federal system such as military, Indian health
				  services, tribal health setting, or community health center; or
(ii) Is a practice setting that:
(A) Has three or more physicians for the
				  purposes of delivering direct patient care; and
(B) Has a quality review, improvement, and
				  assurance program for practitioners.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-919 - Washington medical commission › APPLICATIONS AND EXAMINATIONS › Section 246-919-355 - Examination accepted by the commission

Current through Register Vol. 24-14, July 15, 2024
(1) The commission accepts the United States
				  Medical Licensing Examination (USMLE) as the examination for
				  licensure.
(2) The minimal passing
				  scores for each component of any approved examination combination shall be a
				  score of seventy-five as defined by the examining authority.
(3) Applicants must have passed all
				  components of the USMLE within seven years after passing the first examination.
				  The commission recognizes that an applicant with a combined degree may require
				  an exception to the seven-year requirement. The commission will review
				  exception requests on a case-by-case basis.
Statutory Authority:
						RCW
						18.71.017 and
						18.71A.020. 96-03-073, §
						246-919-355, filed 1/17/96, effective
						2/17/96.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-919 - Washington medical commission › APPLICATIONS AND EXAMINATIONS › Section 246-919-360 - Examinations accepted for licensure

Current through Register Vol. 24-14, July 15, 2024
(1)
				  The commission may accept certain examinations as a basis for licensure. These
				  examinations include USMLE, Federation Licensure Examination (FLEX), National
				  Boards Examination (NBE), or those given by the other states, or territories of
				  the United States. Those who have taken the Licentiate of the Medical Council
				  of Canada (LMCC) and hold a valid LMCC certification obtained after 1969, may
				  be granted a license without examination.
(2) Examination combination acceptable. Any
				  applicant who has successfully completed Part I (NBE) or Step 1 (USMLE) plus
				  Part II or Step 2 plus Part III or Step 3; or FLEX Component 1 plus Step 3; or
				  Part I or Step 1, plus Part II or Step 2, plus FLEX Component 2 shall be deemed
				  to have successfully completed a medical licensure examination as required by
				  RCW
				  18.71.070. (For clarification, see Table 1.)
Table 1
Accepted
Examinations
								taken
in Sequence
Other Acceptable Combinations
NBME Part I
plus
NBME Part II
plus
NBME Part III
NBME Part I or USMLE Step 1
plus
NBME Part II or USMLE Step 2
plus
NBME Part III or USMLE Step 3
FLEX Component 1
plus
FLEX Component 2
FLEX Component 1
plus
USMLE Step 3
or
NBME Part I or USMLE Step 1
plus
NBME Part II or USMLE Step 2
plus
FLEX Component 2
USMLE Step 1
plus
USMLE Step 2
plus
USMLE Step 3
Statutory Authority:
						RCW
						18.71.017,
						18.130.050,
						18.71.090, and [18.71.]095.
						06-18-042, § 246-919-360, filed 8/30/06, effective 9/30/06. Statutory
						Authority:
						RCW
						18.71.017. 04-04-067, § 246-919-360,
						filed 2/2/04, effective 3/4/04. Statutory Authority:
						RCW
						18.71.017 and
						18.71A.020. 96-03-073, §
						246-919-360, filed 1/17/96, effective
						2/17/96.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-919 - Washington medical commission › APPLICATIONS AND EXAMINATIONS › Section 246-919-365 - FLEX examination standards

Current through Register Vol. 24-14, July 15, 2024
The commission will accept the Federation Licensing
					 Examination (FLEX) weighted average of 75 reported from the Federation of State
					 Medical Boards. All FLEX scores must be submitted directly from the Federation
					 of State Medical Boards. FLEX scores reported by other states will not be
					 accepted.
Statutory Authority:
						RCW
						18.71.017 and
						18.71A.020. 96-03-073, §
						246-919-365, filed 1/17/96, effective
						2/17/96.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-919 - Washington medical commission › APPLICATIONS AND EXAMINATIONS › Section 246-919-370 - Special purpose examination

Current through Register Vol. 24-14, July 15, 2024
(1)
				  The commission may require an applicant to pass the Special Purpose Examination
				  (SPEX) or any other examination deemed appropriate. An applicant may be
				  required to take an examination when the commission has concerns with the
				  applicant's ability to practice competently for reasons which may include, but
				  are not limited to, the following:
(a)
				  Resolved or pending malpractice suits;
(b) Pending action by another state licensing
				  authority;
(c) Actions pertaining
				  to privileges at any institution; or
(d) Not having practiced for the immediate
				  two years prior to the application.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-919 - Washington medical commission › APPLICATIONS AND EXAMINATIONS › Section 246-919-380 - AIDS prevention and information education requirements (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						43.70.280. 98-05-060, § 246-919-380,
						filed 2/13/98, effective 3/16/98. Statutory Authority:
						RCW
						18.71.017 and
						18.71A.020. 96-03-073, §
						246-919-380, filed 1/17/96, effective
						2/17/96.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-919 - Washington medical commission › APPLICATIONS AND EXAMINATIONS › Section 246-919-390

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						18.71.017 and
						18.71A.020. 96-03-073, §
						246-919-390, filed 1/17/96, effective
						2/17/96.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-919 - Washington medical commission › APPLICATIONS AND EXAMINATIONS › Section 246-919-395 - Substantially equivalent licensing standards-Temporary practice permit

Current through Register Vol. 24-14, July 15, 2024
(1) An applicant
				  who holds an unrestricted, active license in another state with licensing
				  standards substantially equivalent to those in Washington may apply for a
				  temporary practice permit authorizing the applicant to practice as a physician
				  in Washington.
(2) The commission
				  will issue the physician a temporary practice permit if the following
				  requirements are met:
(a) The applicant
				  submits a completed application for a physician and surgeon license on a form
				  provided by the commission on which the applicant indicates that he or she
				  wishes to receive a temporary practice permit;
(b) The applicant submits payment of the
				  application fee and temporary practice permit fee under WAC
				  246-919-990;
(c) The commission receives the American
				  Medical Association's physicians' data profile verifying states in which the
				  applicant is or was licensed;
(d)
				  The commission receives the practitioner profile from the Federation of State
				  Medical Boards;
(e) The applicant
				  requests and the commission receives written verification attesting that the
				  applicant has a license in good standing and is not subject to charges or
				  disciplinary action for unprofessional conduct or impairment from all states
				  which the applicant is or was licensed;
(f) The applicant is not subject to denial of
				  a license or issuance of a conditional license under chapter 18.130 RCW;
				  and
(g) The applicant is licensed
				  in a state that has licensing standards substantially equivalent to
				  Washington.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-919 - Washington medical commission › APPLICATIONS AND EXAMINATIONS › Section 246-919-396 - Background check-Temporary practice permit

Current through Register Vol. 24-14, July 15, 2024
The commission conducts background checks on applicants to
					 assure safe patient care. Completion of a national criminal background check
					 may require additional time. The commission may issue a temporary practice
					 permit when the applicant has met all other licensure requirements, except the
					 national criminal background check requirement. The applicant must not be
					 subject to denial of a license or issuance of a conditional license under this
					 chapter.
(1) If there are no
				  violations identified in the Washington criminal background check and the
				  applicant meets all other licensure conditions, including receipt by the
				  department of health of a completed Federal Bureau of Investigation (FBI)
				  fingerprint card, the commission may issue a temporary practice permit allowing
				  time to complete the national criminal background check requirements.
The commission will issue a temporary practice permit that
					 is valid for six months. A onetime extension of six months will be granted if
					 the national background check report has not been received by the
					 commission.
(2) The
				  temporary practice permit allows the applicant to work in the state of
				  Washington as a physician during the time period specified on the permit. The
				  temporary practice permit is a license to practice medicine.
(3) The commission issues a license after it
				  receives the national background check report if the report is negative and the
				  applicant otherwise meets the requirements for a license.
(4) The temporary practice permit is no
				  longer valid after the license is issued or action is taken on the application
				  because of the background check.
Statutory Authority:
						RCW
						18.130.064 and
						18.130.075. 10-05-029, §
						246-919-396, filed 2/9/10, effective
						2/11/10.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-919 - Washington medical commission › APPLICATIONS AND EXAMINATIONS › Section 246-919-397 - How to obtain a temporary practice permit-Military spouse

Current through Register Vol. 24-14, July 15, 2024
A military spouse or state registered domestic partner of a
					 military person may receive a temporary practice permit while completing any
					 specific additional requirements that are not related to training or practice
					 standards for physicians.
(1) A
				  temporary practice permit may be issued to an applicant who is a military
				  spouse or state registered domestic partner of a military person and:
(a) Is moving to Washington as a result of
				  the military person's transfer to Washington;
(b) Left employment in another state to
				  accompany the military person to Washington;
(c) Holds an unrestricted, active license in
				  another state that has substantially equivalent licensing standards for a
				  physician to those in Washington; and
(d) Is not subject to any pending
				  investigation, charges, or disciplinary action by the regulatory body of the
				  other state or states.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-919 - Washington medical commission › RENEWAL AND CME REQUIREMENTS › Section 246-919-421 - Two year renewal cycle

Current through Register Vol. 24-14, July 15, 2024
A licensed physician shall renew his or her license every
					 two years in compliance with WAC
					 246-12-030. A licensed physician
					 must also submit information about his or her current professional practice as
					 required by
					 RCW
					 18.71.080(1)(b).
Statutory Authority:
						RCW
						18.71.017,
						18.130.250,
						18.71.440. 11-05-025, §
						246-919-421, filed 2/7/11, effective 3/10/11. Statutory Authority:
						RCW
						18.71.017,
						18.130.050(1),
						18.130.040(4),
						18.130.050(12) 
						and 18.130.340. 99-23-090, §
						246-919-421, filed 11/16/99, effective
						1/1/00.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-919 - Washington medical commission › RENEWAL AND CME REQUIREMENTS › Section 246-919-422 - Transition from post-graduate limited license to full license

Current through Register Vol. 24-14, July 15, 2024
In order to obtain full license status, a physician with a
					 post-graduate limited Washington license will pay the fee difference between
					 the limited license application and the full license application. This license
					 will expire on their second birth date after issuance and every two years
					 thereafter.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-919 - Washington medical commission › RENEWAL AND CME REQUIREMENTS › Section 246-919-430 - Requirements for maintenance of licensure

Current through Register Vol. 24-14, July 15, 2024
A licensed physician must complete one of the following to
					 satisfy maintenance of licensure requirements during renewal:
(1) Complete two hundred hours of continuing
				  education every four years as required in chapter 246-12 WAC and as described
				  in WAC 246-919-460. Participation in a
				  residency program accredited by the Accreditation Council for Graduate Medical
				  Education or in a fellowship program, accredited or not, may be credited fifty
				  hours of Category I continuing medical education per year of training towards
				  the two hundred hour requirement;
(2) Obtain a current Physician's Recognition
				  Award from the American Medical Association in at least two of the four years
				  preceding the renewal due date;
(3)
				  Become certified by a member board of the American Board of Medical Specialties
				  in the four years preceding the renewal due date;
(4) Meet the requirements for participation
				  in maintenance of certification of a member board of the American Board of
				  Medical Specialties at the time of renewal.
Statutory Authority:
						RCW
						18.71.017,
						18.130.050(1),
						18.130.040(4),
						18.130.050(12) 
						and 18.130.340. 99-23-090, §
						246-919-430, filed 11/16/99, effective 1/1/00. Statutory Authority:
						RCW
						43.70.280. 98-05-060, § 246-919-430,
						filed 2/13/98, effective 3/16/98. Statutory Authority:
						RCW
						18.71.017 and
						18.71A.020. 96-03-073, §
						246-919-430, filed 1/17/96, effective
						2/17/96.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-919 - Washington medical commission › RENEWAL AND CME REQUIREMENTS › Section 246-919-435 - Training in suicide assessment, treatment, and management

Current through Register Vol. 24-14, July 15, 2024
(1) A licensed physician, other than a
				  resident holding a limited license issued under
				  RCW
				  18.71.095(3), must complete
				  a one-time training in suicide assessment, treatment, and management. The
				  training must be at least six hours in length and may be completed in one or
				  more sessions.
(2) The training
				  must be completed by the end of the first full continuing education reporting
				  period after January 1, 2016, or during the first full continuing education
				  period after initial licensure, whichever occurs later, or during the first
				  full continuing education reporting period after the exemption in subsection
				  (6) of this section no longer applies. The commission accepts training
				  completed between June 12, 2014, and January 1, 2016, that meets the
				  requirements of
				  RCW
				  43.70.442 as meeting the one-time training
				  requirement.
(3) The training must
				  be on the model list developed by the department of health under
				  RCW
				  43.70.442. The establishment of the model
				  list does not affect the validity of training completed prior to July 1, 2017.
(4) The hours spent completing
				  training in suicide assessment, treatment, and management count toward meeting
				  applicable continuing education requirements in the same category specified in
				  WAC
				  246-919-460.
(5) The commission exempts any licensed
				  physician from the training requirements of this section if the physician has
				  only brief or limited patient contact, or no patient contact.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-919 - Washington medical commission › RENEWAL AND CME REQUIREMENTS › Section 246-919-445 - Health equity continuing education training requirements

Current through Register Vol. 24-14, July 15, 2024
(1) A physician
				  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 physician completes count toward meeting applicable continuing
				  education requirements in the same category specified in WAC
				  246-919-460.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-919 - Washington medical commission › RENEWAL AND CME REQUIREMENTS › Section 246-919-450 - Categories of creditable continuing medical education activities (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						18.71.017,
						18.130.050(1),
						18.130.040(4),
						18.130.050(12) 
						and 18.130.340. 99-23-090, §
						246-919-450, filed 11/16/99, effective 1/1/00. Statutory Authority:
						RCW
						18.71.017 and
						18.71A.020. 96-03-073, §
						246-919-450, filed 1/17/96, effective
						2/17/96.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-919 - Washington medical commission › RENEWAL AND CME REQUIREMENTS › Section 246-919-460 - Categories of creditable continuing medical education activities

Current through Register Vol. 24-14, July 15, 2024
(1)
Category
				  I: Continuing medical education activities with accredited sponsorship.
The licensed physician may earn all two hundred credit hours in Category I. The
				  commission will accept attendance at a continuing education program that is
				  recognized as Category I credit and is offered by an organization or
				  institution that meets the standards adopted by the Accreditation Council for
				  Continuing Medical Education or its designated interstate accrediting agency,
				  the Washington State Medical Association.
(2)
Category II: Continuing medical
				  education activities with nonaccredited sponsorship.
A licensed
				  physician may earn a maximum of eighty credit hours by attendance at continuing
				  medical education programs that are not approved but which are in accordance
				  with the provisions of Category I.
(3)
Category III: Teaching of
				  physicians or other allied health professionals.
A licensed physician
				  may earn a maximum of eighty credit hours for serving as an instructor of
				  medical students, house staff, other physicians or allied health professionals
				  from a hospital or institution with a formal training program if the hospital
				  or institution has approved the instruction.
(4)
Category IV: Books, papers,
				  publications, exhibits.
A licensed physician may earn:
(a) A maximum of eighty credit hours under
				  Category IV, with specific subcategories listed below. Credit may be earned
				  only during the forty-eight-month period following presentations or
				  publications.
(b) Ten credit hours
				  for a paper, exhibit, publication, or for each chapter of a book that is
				  authored by the licensed physician and published. A paper must be published in
				  a recognized medical journal. A licensed physician who presents a paper at a
				  meeting or an exhibit must present to physicians or allied health
				  professionals. Credit may be claimed only once for the scientific materials
				  presented. Credit should be claimed as of the date materials were presented or
				  published.
Medical editing will not be accepted in this or any other
					 category for credit.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-919 - Washington medical commission › RENEWAL AND CME REQUIREMENTS › Section 246-919-470 - Approval not required

Current through Register Vol. 24-14, July 15, 2024
(1) Except as
				  required by law, the commission will not give prior approval for any continuing
				  medical education. The commission will accept any continuing medical education
				  that reasonably falls within these rules and relies upon each individual
				  physician's integrity to comply with this requirement.
(2) The continuing medical education category
				  will depend solely upon the accredited status of the organization or
				  institution. The number of creditable hours may be determined by counting the
				  contact hours of instruction and rounding to the nearest quarter hour. The
				  commission relies upon the integrity of program sponsors to present continuing
				  medical education that constitutes a meritorious learning experience.
Statutory Authority:
						RCW
						18.71.017 and
						18.71A.020. 96-03-073, §
						246-919-470, filed 1/17/96, effective
						2/17/96.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-919 - Washington medical commission › RENEWAL AND CME REQUIREMENTS › Section 246-919-475 - Expired license

Current through Register Vol. 24-14, July 15, 2024
(1) If the license
				  has been expired for three years or less, the physician must meet the
				  requirements of chapter 246-12 WAC, Part 2.
(2) If the license has been expired for over
				  three years, the physician must:
(a) Reapply
				  for licensing under current requirements as stipulated in
				  RCW
				  18.71.050(1)(b)  and WAC
				  246-919-330;
				  and
(b) Meet the requirements of
				  chapter 246-12 WAC, Part 2.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-919 - Washington medical commission › RENEWAL AND CME REQUIREMENTS › Section 246-919-480 - Retired active license

Current through Register Vol. 24-14, July 15, 2024
(1) To
				  obtain a retired active license a physician must comply with chapter 246-12
				  WAC, Part 5, excluding WAC
				  246-12-120(2)(c)
				  and (d).
(2) A physician with a retired active license
				  may not receive compensation for health care services;
(3) A physician with a retired active license
				  may practice only in emergent or intermittent circumstances; and
(4) A physician with a retired active license
				  must renew every two years and must report one hundred hours of continuing
				  medical education at every renewal. The commission will accept a maximum of
				  forty hours of continuing medical education in Categories II through V, as
				  defined in WAC
				  246-919-460,
				  during each renewal period. There is no limit to the number of hours that may
				  be accepted in Category I.
Statutory Authority:
						RCW
						18.71.017,
						18.130.250,
						18.71.440. 11-05-025, §
						246-919-480, filed 2/7/11, effective 3/10/11. Statutory Authority:
						RCW
						43.70.280. 98-05-060, § 246-919-480,
						filed 2/13/98, effective 3/16/98. Statutory Authority:
						RCW
						18.71.017 and
						18.71A.020. 96-03-073, §
						246-919-480, filed 1/17/96, effective
						2/17/96.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-919 - Washington medical commission › ADJUDICATIVE PROCEDURES › Section 246-919-520 - Revocation of a physician's license

Current through Register Vol. 24-14, July 15, 2024
A physician may request a review by the commission of its
					 decision to revoke the physician's license under RCW 18.71.-019:
(1) If the commission issues a final order
				  revoking a physician's license following an adjudicative proceeding, the
				  physician may request a review of the decision by a review panel of the
				  commission.
(2) The physician shall
				  file a written request with the commission within twenty days of the effective
				  date of the final order. The physician may not request an extension of the
				  twenty-day period to file a request for review.
(3) The physician's request for review of the
				  final order does not change the effective date of the final order.
(4) A review panel shall review the final
				  order. The review panel is composed of the members of the commission who did
				  not:
(a) Review the initial investigation and
				  make the decision to issue a statement of charges against the physician in this
				  matter; or
(b) Hear the evidence at
				  the adjudicative proceeding and issue the final order revoking the physician's
				  license.