reglab/statecodes huggingface dataset:
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-808 - Chiropractic quality assurance commission › STANDARDS OF CARE › Section 246-808-535 - Delegation of services to auxiliary staff, regular senior students, and clinical postgraduate trainees

Current through Register Vol. 24-14, July 15, 2024
(1)
				  A licensed chiropractor may delegate certain services to auxiliary staff,
				  regular senior students, and clinical postgraduate trainees, if these services
				  are performed under the licensed chiropractor's direct supervision and control.
				  The supervising chiropractor shall be responsible for determining that
				  auxiliary staff, regular senior students, and clinical postgraduate trainees
				  are competent to perform the delegated services. The licensed supervising
				  chiropractor must render adequate supervision so that the patient's health and
				  safety is not at risk.
(2)
				  Auxiliary staff shall not perform the following services:
(a) Detection of subluxation;
(b) Adjustment or manipulation of the
				  articulations of the body;
(c)
				  Interpretation or analysis of radiographs;
(d) Determining the necessity for
				  chiropractic care;
(e) Orthopedic
				  or neurological examinations.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-808 - Chiropractic quality assurance commission › STANDARDS OF CARE › Section 246-808-540 - Billing

Current through Register Vol. 24-14, July 15, 2024
A doctor of chiropractic may bill for all provided services
					 that are allowable under
					 chapter
					 18.25 RCW and the rules
					 adopted pursuant to the foregoing statute. The doctor shall utilize codes
					 and/or descriptions of services that accurately describe the professional
					 services rendered.
Statutory Authority:
						Chapter
						18.25 RCW. 96-16-074,
						§ 246-808-540, filed 8/6/96, effective
						9/6/96.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-808 - Chiropractic quality assurance commission › STANDARDS OF CARE › Section 246-808-545 - Improper billing practices

Current through Register Vol. 24-14, July 15, 2024
The following acts shall constitute grounds for which
					 disciplinary action may be taken:
(1)
				  Rebating or offering to rebate to an insured any payment to the licensee by the
				  third-party payor of the insured for services or treatments rendered under the
				  insured's policy.
(2) Submitting to
				  any third-party payor a claim for a service or treatment at a greater or an
				  inflated fee or charge than the usual fee the licensee charges for that service
				  or treatment when rendered without third-party reimbursement.
Statutory Authority:
						Chapter
						18.25 RCW. 96-16-074,
						§ 246-808-545, filed 8/6/96, effective
						9/6/96.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-808 - Chiropractic quality assurance commission › STANDARDS OF CARE › Section 246-808-550 - Future care contracts prohibited

Current through Register Vol. 24-14, July 15, 2024
It shall be considered unprofessional conduct for any
					 chiropractor to enter into a contract which would obligate a patient to pay for
					 care to be rendered in the future, unless the contract provides that the
					 patient is entitled to a complete refund for any care not
					 received.
Statutory Authority:
						Chapter
						18.25 RCW. 96-16-074,
						§ 246-808-550, filed 8/6/96, effective
						9/6/96.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-808 - Chiropractic quality assurance commission › STANDARDS OF CARE › Section 246-808-560 - Documentation of care

Current through Register Vol. 24-14, July 15, 2024
A doctor of chiropractic must keep complete and accurate
					 documentation on all patients and patient encounters. This documentation is
					 necessary to protect the health, well-being and safety of the patient.
(1) The patient record must detail the
				  patient's clinical history, the rationale for the examination, diagnostic or
				  analytical procedures, and treatment services provided. The diagnosis or
				  clinical impression must be contained in the patient record, not merely
				  recorded on billing forms or statements. Subjective health status updates,
				  whether or not symptoms are present, must be documented for every patient
				  encounter.
(2) Documentation for
				  the initial record must include at a minimum:
(a) The patient's history;
(b) Subjective presentation;
(c) Examination findings or objective
				  findings relating to the patient's presenting condition;
(d) Any diagnostic testing
				  performed;
(e) A diagnosis or
				  impression;
(f) Any treatment or
				  care provided; and
(g) Plan of
				  care.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-808 - Chiropractic quality assurance commission › STANDARDS OF CARE › Section 246-808-565 - Radiographic standards

Current through Register Vol. 24-14, July 15, 2024
The following requirements for chiropractic X ray have been
					 established because of concerns about over radiation and unnecessary X-ray
					 exposure.
(1) The following shall
				  appear on the films:
(a) Patient's name and
				  age;
(b) Doctor's name, facility
				  name, and address;
(c) Date of
				  study;
(d) Left or right
				  marker;
(e) Other markers as
				  indicated;
(f) Adequate
				  collimation;
(g) Gonad shielding,
				  where applicable.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-808 - Chiropractic quality assurance commission › STANDARDS OF CARE › Section 246-808-570 - Pelvic or prostate examination prohibited

Current through Register Vol. 24-14, July 15, 2024
The physical examination to determine the necessity for
					 chiropractic care does not include vaginal (pelvic) examination or prostate
					 examination. Chiropractors are prohibited from performing such examination and
					 from directing any agent or employee to perform such
					 examination.
Statutory Authority:
						Chapter
						18.25 RCW. 96-16-074,
						§ 246-808-570, filed 8/6/96, effective
						9/6/96.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-808 - Chiropractic quality assurance commission › STANDARDS OF CARE › Section 246-808-575 - Intravaginal adjustment restricted

Current through Register Vol. 24-14, July 15, 2024
It shall be considered unprofessional conduct for a
					 chiropractor to perform an adjustment of the coccyx through the vagina unless
					 the following conditions are met:
(1)
				  The coccyx cannot be adjusted rectally or the patient is offered and declines
				  the option of the rectal technique;
(2) The coccyx adjustment is performed with
				  the use of a disposable finger cot or rubber glove; and
(3) A female attendant is present at all
				  times the patient is examined and the coccyx adjustment is being
				  performed.
Statutory Authority:
						Chapter
						18.25 RCW. 96-16-074,
						§ 246-808-575, filed 8/6/96, effective
						9/6/96.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-808 - Chiropractic quality assurance commission › STANDARDS OF CARE › Section 246-808-580 - Acupuncture

Current through Register Vol. 24-14, July 15, 2024
No chiropractor shall:
(1) Employ the use of needles in the
				  treatment of a patient; or
(2) Hold
				  himself or herself out as practicing acupuncture in any form: This prohibition
				  shall not restrict a chiropractor who is also a certified acupuncturist
				  pursuant to
				  chapter
				  18.06 RCW from practicing
				  acupuncture, provided that the chiropractor differentiates chiropractic care
				  from acupuncture care at all times as is required by
				  RCW
				  18.25.112.
Statutory Authority:
						Chapter
						18.25 RCW. 96-16-074,
						§ 246-808-580, filed 8/6/96, effective
						9/6/96.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-808 - Chiropractic quality assurance commission › STANDARDS OF CARE › Section 246-808-585 - Clinically necessary X rays

Current through Register Vol. 24-14, July 15, 2024
All offers of free X rays shall be accompanied by a
					 disclosure statement that X rays shall only be taken if clinically necessary in
					 order to avoid unnecessary radiation exposure.
Statutory Authority:
						Chapter
						18.25 RCW. 96-16-074,
						§ 246-808-585, filed 8/6/96, effective
						9/6/96.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-808 - Chiropractic quality assurance commission › STANDARDS OF CARE › Section 246-808-590 - Professional boundaries and sexual misconduct

Current through Register Vol. 24-14, July 15, 2024
(1) The following definitions apply
				  throughout this section unless the context clearly requires otherwise.
(a) "Patient" means a person who is receiving
				  health care or treatment, or has received health care or treatment without a
				  termination of the health care provider-patient relationship. The determination
				  of when a person is a patient is made on a case-by-case basis with
				  consideration given to a number of factors, including the nature, extent, and
				  context of the professional relationship between the health care provider and
				  the person. The fact that a person is not actively receiving treatment or
				  professional services is not the sole determining factor.
(b) "Health care provider" means a person
				  licensed or registered to practice under chapter 18.25 RCW.
(c) "Key third party" means immediate family
				  members and others who would be reasonably expected to play a significant role
				  in the health care decisions of the patient and includes, but is not limited
				  to, the spouse, domestic partner, sibling, parent, child, guardian, and person
				  authorized to make health care decisions of the patient.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-808 - Chiropractic quality assurance commission › STANDARDS OF CARE › Section 246-808-600 - Prohibited publicity and advertising

Current through Register Vol. 24-14, July 15, 2024
(1) A chiropractor shall not, on behalf of
				  himself/herself, his/her partner, associate or any other chiropractor
				  affiliated with his/her office or clinic, use or allow to be used, any form of
				  public communications or advertising which is false, fraudulent, deceptive or
				  misleading, including, but not limited to, such advertising which takes any of
				  the following forms which are prohibited:
(a)
				  Advertising which guarantees any result or cure;
(b) Advertising which makes claims of
				  professional superiority;
(c)
				  Advertising which fails to differentiate chiropractic care from all other
				  methods of healing;
(d) Advertising
				  for a service outside the practice of chiropractic as permitted in
				  Washington.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-808 - Chiropractic quality assurance commission › STANDARDS OF CARE › Section 246-808-605 - Honoring of publicity and advertisements

Current through Register Vol. 24-14, July 15, 2024
(1) If a chiropractor advertises a fee for a
				  service, the chiropractor must render that service for no more than the fee
				  advertised.
(2) Unless otherwise
				  specified in the advertisement, if a chiropractor publishes any fee information
				  authorized under chapter 246-808 WAC, the chiropractor shall be bound by any
				  representation made therein for the periods specified in the following
				  categories:
(a) If in a publication which is
				  published more frequently than one time per month, for a period of not less
				  than thirty days after such publication.
(b) If in a publication which is published
				  once a month or less frequently, until the publication of the succeeding
				  issue.
(c) If in a publication
				  which has no fixed date for publication of the succeeding issue, for a
				  reasonable period of time after publication, but in no event less than one
				  year.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-808 - Chiropractic quality assurance commission › STANDARDS OF CARE › Section 246-808-610 - Prohibited transactions

Current through Register Vol. 24-14, July 15, 2024
A chiropractor shall not compensate or give anything of
					 value to representatives of the press, radio, television or other communication
					 media in anticipation of or in return for professional publicity of any
					 individual chiropractor in a news item.
Statutory Authority:
						Chapter
						18.25 RCW. 96-16-074,
						§ 246-808-610, filed 8/6/96, effective
						9/6/96.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-808 - Chiropractic quality assurance commission › STANDARDS OF CARE › Section 246-808-615 - Professional notices, letterheads, cards, and mailings

Current through Register Vol. 24-14, July 15, 2024
In his/her use of professional notices, letterheads, cards,
					 and mailings, a chiropractor is subject to the same regulations of chapter
					 246-808 WAC which apply to his/her use of other print media.
Statutory Authority:
						Chapter
						18.25 RCW. 96-16-074,
						§ 246-808-615, filed 8/6/96, effective
						9/6/96.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-808 - Chiropractic quality assurance commission › STANDARDS OF CARE › Section 246-808-620 - Suggestion of need of chiropractic services

Current through Register Vol. 24-14, July 15, 2024
A chiropractor who has given in-person, unsolicited advice
					 to a lay person that he/she should obtain chiropractic care shall not accept
					 employment resulting from that advice except that:
(1) A chiropractor may accept employment by a
				  close friend, relative, former patient (if the advice is germane to the former
				  treatment), or one whom the chiropractor reasonably believes to be a patient;
				  and
(2) Without affecting his/her
				  right to accept employment, a chiropractor may speak publicly or write for
				  publication on chiropractic topics so long as he/she does not emphasize his/her
				  own professional experience or reputation and does not undertake to give
				  individual advice.
Statutory Authority:
						Chapter
						18.25 RCW. 96-16-074,
						§ 246-808-620, filed 8/6/96, effective
						9/6/96.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-808 - Chiropractic quality assurance commission › STANDARDS OF CARE › Section 246-808-625 - Public testimonial advertising

Current through Register Vol. 24-14, July 15, 2024
(1)
				  Public testimonial advertising includes the use of a statement testifying as to
				  a chiropractor's qualifications, abilities and character, or to the value of
				  chiropractic services.
(2) The use
				  of testimonial advertising shall not be considered false or misleading if the
				  following guidelines are met:
(a)
				  Testimonials must relate to patient care provided within the immediately
				  preceding five-year period.
(b) The
				  testimonial shall be documented by a notarized statement of the patient, a copy
				  of which is kept by both the chiropractor and the patient.
(c) The testimonial must be consistent with
				  the history of the patient's care, including office records, examination
				  reports and X rays.
(d)
				  Testimonials shall not:
(i) Be exaggerated or
				  misrepresented;
(ii) State that a
				  technique or doctor is superior;
(iii) Claim specific cures;
(iv) Compare one chiropractor to
				  another;
(v) Include a named
				  diagnosis.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-808 - Chiropractic quality assurance commission › STANDARDS OF CARE › Section 246-808-630 - Full disclosure of cost of services

Current through Register Vol. 24-14, July 15, 2024
(1) This rule shall apply to all
				  representations made in public advertising regarding the provision of
				  chiropractic services, including X rays or chiropractic examinations, on a free
				  basis or at a reduced cost. This rule shall also apply to all billings or other
				  written or oral communications regarding charges for chiropractic services
				  whether made to patients, third-party health care payors, or to any other
				  person, firm, or governmental agency.
(2) When a chiropractic service is
				  represented in public advertising as available without cost, or at a reduced
				  cost, that service must be made available to everyone who wishes to take
				  advantage of the offer on an equal basis. No charge may be made to any
				  individual or third-party health care payor for any services which have been
				  provided on a free basis.
(3) All
				  billings to third-party payors for patients who are also being treated for an
				  unrelated condition must fully disclose the additional treatment being provided
				  and the charges for that treatment.
(4) Billings to patients or to third-party
				  health care payors shall accurately reflect the actual charge to the patient,
				  including any discounts, reduced fees, or waiver of copayment.
(5) Because of the potential element of fraud
				  being present, advertising full or partial forgiveness of coinsurance shall be
				  prohibited unless the insurance company is given accurate and complete
				  information relating to the actual charge to the patient and that coinsurance
				  has been fully or partially waived.
Statutory Authority:
						Chapter
						18.25 RCW. 96-16-074,
						§ 246-808-630, filed 8/6/96, effective
						9/6/96.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-808 - Chiropractic quality assurance commission › STANDARDS OF CARE › Section 246-808-650 - Records and X rays and withdrawal from practice - Maintenance and retention of patient records

Current through Register Vol. 24-14, July 15, 2024
(1) Any
				  chiropractor who treats patients in the state of Washington shall maintain all
				  treatment records regarding patients treated. These records may include, but
				  shall not be limited to, X rays, treatment plans, patient charts, patient
				  histories, correspondence, financial data, and billing. These records shall be
				  retained by the chiropractor for five years in an orderly, accessible file and
				  shall be readily available for inspection by the commission or its authorized
				  representative: X rays or copies of records may be forwarded pursuant to a
				  licensed agent's written request. Also, office records shall state the date on
				  which the records were released, method forwarded and to whom, and the reason
				  for the release. A reasonable fee may be charged the patient to cover mailing
				  and clerical costs.
(2) A
				  chiropractor shall honor within fifteen days a written request from an adult
				  patient or their legal representative or the legal representative of a minor
				  child to release:
(a) Original X rays and
				  records to other licensed health care providers; or
(b) The chiropractor may provide duplicate
				  films or a copy of the patient records to the health care provider or the
				  patient. The health care provider may bill the patient reasonable duplication
				  costs. Once the original films have been loaned at patient request, the
				  chiropractor is no longer responsible for them, or for their retrieval or
				  subsequent production.
A chiropractor who has received original X rays on a loan
					 basis shall return them to the loaning chiropractor upon request within sixty
					 days unless other arrangements are made.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-808 - Chiropractic quality assurance commission › STANDARDS OF CARE › Section 246-808-655 - Duties of a chiropractor who retires or withdraws from practice

Current through Register Vol. 24-14, July 15, 2024
Any chiropractor who ceases practice in their community for
					 any reason, including retirement, illness, disability, or relocation shall
					 comply with the following duties:
(1)
				  The chiropractor shall notify all current patients that they shall not be able
				  to provide chiropractic services and shall notify the patient to seek another
				  chiropractor to continue their care.
(2) The chiropractor shall offer to deliver
				  to the patient, or to another chiropractor or licensed health care professional
				  chosen by the patient, the originals or copies of all patient examination and
				  treatment records and X rays or notify the patient of a community area location
				  where the records and X rays shall be maintained and accessible for at least
				  one year after the notice is sent to the patient.
(3) The chiropractor shall refund any part of
				  fees paid in advance that have not been earned.
(4) The commission requests that the executor
				  or executrix of a deceased chiropractor comply with the duties set forth herein
				  to the fullest extent possible. The commission staff shall provide advice and
				  assistance to such executor or executrix upon request.
(5) For the purpose of this section, any
				  relocation or restriction of practice which substantially interferes with a
				  patient's reasonable access to their chiropractor shall be cause for the
				  chiropractor to comply with the duties set forth.
(6) Willful failure to comply with this
				  section shall be cause to suspend a chiropractor's license until the required
				  duties are fulfilled.
Statutory Authority:
						Chapter
						18.25 RCW. 96-16-074,
						§ 246-808-655, filed 8/6/96, effective
						9/6/96.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-808 - Chiropractic quality assurance commission › STANDARDS OF CARE › Section 246-808-660 - Mandatory reporting

Current through Register Vol. 24-14, July 15, 2024
(1) All reports
				  required by these regulations shall be submitted to the commission as soon as
				  possible, but no later than sixty days after a determination is made.
(2) A report shall contain the following
				  information if known:
(a) The name, address,
				  and telephone number of the person making the report.
(b) The name, address, and telephone number
				  of the chiropractor being reported.
(c) The name of any patient whose treatment
				  is a subject of the report.
(d) A
				  brief description or summary of the facts which gave rise to the issuance of
				  the report, including dates of occurrences.
(e) If court action is involved, the name of
				  the court in which the action is filed along with the date of filing and docket
				  number.
(f) Any further information
				  which would aid the evaluation of the report.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-808 - Chiropractic quality assurance commission › STANDARDS OF CARE › Section 246-808-670 - Chiropractic associations or societies

Current through Register Vol. 24-14, July 15, 2024
The president or chief executive officer of any
					 chiropractic association or society within this state shall report to the
					 commission when an association or society determines that a chiropractor has
					 committed unprofessional conduct or that a chiropractor may not be able to
					 practice chiropractic with reasonable skill and safety to patients as the
					 result of any mental or physical condition and constitutes an apparent risk to
					 the public health, safety, or welfare. The report required by this section
					 shall be made without regard to whether the license holder appeals, accepts, or
					 acts upon the determination made by the association or society. Notification of
					 appeal shall be included.
Statutory Authority:
						Chapter
						18.25 RCW. 96-16-074,
						§ 246-808-670, filed 8/6/96, effective
						9/6/96.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-808 - Chiropractic quality assurance commission › STANDARDS OF CARE › Section 246-808-680 - Insurance carriers

Current through Register Vol. 24-14, July 15, 2024
The executive officer of every insurer, licensed under
					 Title
					 48 RCW operating in the state
					 of Washington, shall report to the commission any evidence that a chiropractor
					 has charged fees for chiropractic services not actually provided, or has
					 otherwise committed unprofessional conduct.
Statutory Authority:
						Chapter
						18.25 RCW. 96-16-074,
						§ 246-808-680, filed 8/6/96, effective
						9/6/96.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-808 - Chiropractic quality assurance commission › STANDARDS OF CARE › Section 246-808-685 - Professional liability carriers

Current through Register Vol. 24-14, July 15, 2024
Every institution or organization providing professional
					 liability insurance directly or indirectly to chiropractors shall send the
					 commission a complete report of any malpractice settlement, award or payment
					 over thirty thousand dollars as a result of a claim or action for damages
					 alleged to have been caused by an insured chiropractor's incompetence or
					 negligence in the practice of chiropractic. Such institution or organization
					 shall also report the payment of three or more claims during a year as the
					 result of alleged incompetence or negligence in the practice of chiropractic
					 regardless of the dollar amount of the payment.
Statutory Authority:
						Chapter
						18.25 RCW. 96-16-074,
						§ 246-808-685, filed 8/6/96, effective
						9/6/96.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-808 - Chiropractic quality assurance commission › STANDARDS OF CARE › Section 246-808-690 - Courts

Current through Register Vol. 24-14, July 15, 2024
The commission requests the assistance of all clerks of
					 trial courts within the state to report to the commission, all professional
					 malpractice judgments and all criminal convictions of licensed chiropractors,
					 other than for minor traffic violations.
Statutory Authority:
						Chapter
						18.25 RCW. 96-16-074,
						§ 246-808-690, filed 8/6/96, effective
						9/6/96.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-808 - Chiropractic quality assurance commission › STANDARDS OF CARE › Section 246-808-695 - State and federal agencies

Current through Register Vol. 24-14, July 15, 2024
The commission requests the assistance of executive
					 officers of any state or federal program operating in the state of Washington,
					 under which a chiropractor has been judged to have demonstrated incompetence or
					 negligence in the practice of chiropractic, or has otherwise committed
					 unprofessional conduct; or whose practice is impaired as a result of a mental,
					 physical or chemical condition, to report to the commission all professional
					 malpractice judgments and decisions.
Statutory Authority:
						Chapter
						18.25 RCW. 96-16-074,
						§ 246-808-695, filed 8/6/96, effective
						9/6/96.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-808 - Chiropractic quality assurance commission › STANDARDS OF CARE › Section 246-808-700 - Cooperation with investigation. (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						Chapter
						18.25 RCW. 96-16-074,
						§ 246-808-700, filed 8/6/96, effective
						9/6/96.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-808 - Chiropractic quality assurance commission › STANDARDS OF CARE › Section 246-808-720 - Commission conflict of interest

Current through Register Vol. 24-14, July 15, 2024
Members of the commission shall not participate in deciding
					 a case or in rule making where their participation presents a conflict of
					 interest, creates an appearance of a conflict of interest or where the
					 commission determines the member's participation raises questions as to the
					 impartiality of the commission.
Statutory Authority:
						Chapter
						18.25 RCW. 96-16-074,
						§ 246-808-720, filed 8/6/96, effective
						9/6/96.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-808 - Chiropractic quality assurance commission › SUBSTANCE ABUSE MONITORING › Section 246-808-801 - Purpose

Current through Register Vol. 24-14, July 15, 2024
The commission recognizes the need to establish a means of
					 proactively providing early recognition and treatment options for chiropractors
					 whose competency may be impaired due to the abuse of drugs or alcohol. The
					 commission intends that such chiropractors be treated and their treatment
					 monitored so that they can return to or continue to practice their profession
					 in a way which safeguards the public. To accomplish this, the commission shall
					 approve voluntary substance abuse monitoring programs and shall refer
					 chiropractors impaired by substance abuse to approved programs as an
					 alternative to instituting disciplinary proceedings as defined in
					 RCW
					 18.130.160.
Statutory Authority:
						Chapter
						18.25 RCW. 96-16-074,
						§ 246-808-801, filed 8/6/96, effective
						9/6/96.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-808 - Chiropractic quality assurance commission › SUBSTANCE ABUSE MONITORING › Section 246-808-820 - Approval of substance abuse monitoring programs

Current through Register Vol. 24-14, July 15, 2024
The commission shall approve the monitoring program(s)
					 which shall participate in the commission's substance abuse monitoring program.
					 A monitoring program approved by the commission may be contracted with an
					 entity outside the department but within the state, out-of-state, or a separate
					 structure within the department.
(1)
				  The approved monitoring program shall not provide evaluation or treatment to
				  the participating chiropractor.
(2)
				  The approved monitoring program staff must have the qualifications and
				  knowledge of both substance abuse and the practice of chiropractic as defined
				  in this chapter to be able to evaluate:
(a)
				  Clinical laboratories;
(b)
				  Laboratory results;
(c) Providers
				  of substance abuse treatment, both individuals and facilities;
(d) Support groups;
(e) The chiropractic work environment;
				  and
(f) The ability of the
				  chiropractor to practice with reasonable skill and safety.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-808 - Chiropractic quality assurance commission › SUBSTANCE ABUSE MONITORING › Section 246-808-830 - Participation in approved substance abuse monitoring program

Current through Register Vol. 24-14, July 15, 2024
(1) In lieu of
				  disciplinary action, the chiropractor may accept commission referral into the
				  approved substance abuse monitoring program.
(a) The chiropractor shall undergo a complete
				  physical and psychosocial evaluation before entering the approved monitoring
				  program. This evaluation shall be performed by health care professional(s) with
				  expertise in chemical dependency. The person(s) performing the evaluation shall
				  not also be the provider of the recommended treatment.
(b) The chiropractor shall enter into a
				  contract with the commission and the approved substance abuse monitoring
				  program to comply with the requirements of the program which shall include, but
				  not be limited to:
(i) The chiropractor shall
				  undergo intensive substance abuse treatment in an approved treatment
				  facility.
(ii) The chiropractor
				  shall agree to remain free of all mind-altering substances including alcohol,
				  except for medications prescribed by an authorized prescriber, as defined in
				  RCW
				  69.41.030 and
				  69.50.101.
(iii) The chiropractor must complete the
				  prescribed aftercare program of the intensive treatment facility, which may
				  include individual and/or group psychotherapy.
(iv) The treatment counselor(s) shall provide
				  reports to the approved monitoring program at specified intervals. Reports
				  shall include treatment, prognosis, and goals.
(v) The chiropractor shall submit to random
				  drug screening as specified by the approved monitoring program.
(vi) The chiropractor shall attend support
				  groups facilitated by a health care professional and/or twelve-step group
				  meetings as specified by the contract.
(vii) The chiropractor shall comply with
				  specified employment conditions and restrictions as defined by the
				  contract.
(viii) The chiropractor
				  shall sign a waiver allowing the approved monitoring program to release
				  information to the commission if the chiropractor does not comply with the
				  requirements of this contract.
(c) The chiropractor is responsible for
				  paying the costs of the physical and psychosocial evaluation, substance abuse
				  treatment, and random drug screens.
(d) The chiropractor may be subject to
				  disciplinary action under
				  RCW
				  18.130.160 if the chiropractor does not
				  consent to be referred to the approved monitoring program, does not comply with
				  specified employment restrictions, or does not successfully complete the
				  program.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-808 - Chiropractic quality assurance commission › CHIROPRACTIC FEES › Section 246-808-990 - Chiropractic fees and renewal cycle

Current through Register Vol. 24-14, July 15, 2024
(1)
				  Licenses and registrations must be renewed on the practitioner's birthday every
				  year as provided in chapter 246-12 WAC, Part 2.
(2) The following nonrefundable fees will be
				  charged for chiropractic licensure:
Title of Fee
Fee
Original application
Application
$ 625.00
Jurisprudence examination and reexamination
100.00
UW online access fee (HEAL-WA)
16.00
Temporary practice permit
90-day permit
105.00
Preceptorship - Initial and renewal
155.00
Active license renewal
Renewal
550.00
Late renewal penalty
225.00
Expired license reissuance
302.00
UW online access fee (HEAL-WA)
16.00
Inactive license renewal
Renewal
257.00
Expired license reissuance
157.00
Duplicate license
30.00
Verification of license
30.00
(3) The following nonrefundable fees will be
				  charged for chiropractic X-ray technician registration:
Title of Fee
Fee
Application
135.00
Original registration
47.00
Renewal
90.00
Late renewal penalty
50.00
Expired registration reissuance
62.00
Duplicate registration
30.00
Verification of registration
30.00
Statutory
					 Authority:
					 RCW
					 43.70.110(3)(c) and
					 43.70.250. WSR 12-19-088, §
					 246-808-990, filed 9/18/12, effective 11/1/12. Statutory Authority:
					 RCW
					 43.70.110,
					 43.70.250, and
					 2011 1st sp.s. c
					 50 . WSR 11-20-092, § 246-808-990, filed
					 10/4/11, effective 12/1/11. Statutory Authority:
					 RCW
					 43.70.110,
					 43.70.250, 2008 c 329. WSR
					 08-15-014, § 246-808-990, filed 7/7/08, effective 7/7/08. Statutory
					 Authority:
					 RCW
					 43.70.250, [43.70.]280 and 43.70.110. WSR
					 05-12-012, § 246-808-990, filed 5/20/05, effective 7/1/05. Statutory
					 Authority:
					 RCW
					 43.70.250. WSR 99-08-101, § 246-808-990,
					 filed 4/6/99, effective 7/1/99. Statutory Authority:
					 RCW
					 43.70.280. WSR 98-05-060, § 246-808-990,
					 filed 2/13/98, effective 3/16/98. Statutory Authority:
					 Chapter
					 18.25 RCW. WSR 96-16-074,
					 § 246-808-990, filed 8/6/96, effective 9/6/96. WSR 13-23-007, §
					 246-808-990, filed 11/7/2013, effective
					 12/8/2013
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-809 - Licensure for mental health counselors, marriage and family therapists, and social workers › LICENSED COUNSELORS AND ASSOCIATE COUNSELORS - GENERAL REQUIREMENTS › Section 246-809-010 - 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) "Associate" means a prelicensure
				  candidate who is working towards full licensure in their profession, has a
				  graduate degree in a mental health field under
				  RCW
				  18.225.090 and is gaining the supervision and
				  supervised experience necessary to become a licensed independent clinical
				  social worker, a licensed advanced social worker, a licensed mental health
				  counselor, or a licensed marriage and family therapist. Associates may not
				  independently provide social work, mental health counseling, or marriage and
				  family therapy for a fee, monetary or otherwise. Associates must work under the
				  supervision of an approved supervisor.
(2) "Independent social work, mental health
				  counseling, or marriage and family therapy" means the practice of these
				  disciplines without being under the supervision of an approved
				  supervisor.
(3) "Department" means
				  the department of health.
(4)
				  "Licensed counselor" means a licensed marriage and family therapist, licensed
				  mental health counselor, licensed advanced social worker, or licensed
				  independent clinical social worker regulated under chapter 18.225 RCW. Licensed
				  counselor does not mean an associate-level credential.
(5) "Out-of-state" means any state or
				  territory of the United States.
(6)
				  "Probationary license" means a temporary license issued to out-of-state
				  applicants qualifying for licensure reciprocity in Washington state under the
				  restrictions and conditions of
				  RCW
				  18.225.140 and this chapter.
(7) "Reciprocity" means licensure of
				  out-of-state licensed counselors based on substantial equivalence between
				  Washington state scope of practice and the scope of practice of the other state
				  or territory, subject to a probationary licensure period to complete
				  outstanding Washington state licensure requirements as determined necessary by
				  the secretary to gain full licensure.
(8) "Secretary" means the secretary of the
				  department of health.
Statutory Authority: Chapter 18.225 RCW. 09-15-039,
						§ 246-809-010, filed 7/8/09, effective 7/8/09. Statutory Authority:
						RCW
						18.225.040,
						18.130.050. 06-09-032, §
						246-809-010, filed 4/12/06, effective
						5/13/06.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-809 - Licensure for mental health counselors, marriage and family therapists, and social workers › LICENSED COUNSELORS AND ASSOCIATE COUNSELORS - GENERAL REQUIREMENTS › Section 246-809-035 - Recordkeeping and retention

Current through Register Vol. 24-14, July 15, 2024
(1) The
				  licensed counselor or associate providing professional services to a client or
				  providing services billed to a third-party payor, must document services,
				  except as provided in subsection (2) of this section. The documentation
				  includes:
(a) The following business
				  information:
(i) Client name;
(ii) The fee arrangement and record of
				  payments;
(iii) Dates counseling
				  was received;
(iv) Disclosure
				  statement, signed and dated by licensed counselor and client or associate and
				  client on or before the initial session.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-809 - Licensure for mental health counselors, marriage and family therapists, and social workers › LICENSED COUNSELORS AND ASSOCIATE COUNSELORS - GENERAL REQUIREMENTS › Section 246-809-040 - Reporting of suspected abuse or neglect of a child or vulnerable adult

Current through Register Vol. 24-14, July 15, 2024
As required by chapter 26.44 RCW, all licensed counselors
					 and associates shall immediately report abuse or neglect of a child if the
					 counselor has reasonable cause to believe that an incident has occurred.
As required by chapter 74.34 RCW, all licensed counselors
					 and associates must report suspected abandonment, abuse, neglect, or financial
					 exploitation of a vulnerable adult, when there is reasonable cause to believe
					 that abandonment, abuse, financial exploitation, or neglect has
					 occurred.
The associate will inform their approved supervisor of
					 their filing any report made pursuant to this section.
Statutory Authority: Chapter 18.225 RCW. 09-15-039,
						§ 246-809-040, filed 7/8/09, effective 7/8/09. Statutory Authority:
						RCW
						18.225.040,
						18.130.050. 06-09-032, §
						246-809-040, filed 4/12/06, effective
						5/13/06.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-809 - Licensure for mental health counselors, marriage and family therapists, and social workers › LICENSED COUNSELORS AND ASSOCIATE COUNSELORS - GENERAL REQUIREMENTS › Section 246-809-049 - Sexual misconduct

Current through Register Vol. 24-14, July 15, 2024
The definitions and prohibitions on sexual misconduct
					 described in WAC
					 246-16-100 apply to licensed
					 counselors and associates, except a licensed counselor or associate shall never
					 engage, or attempt to engage, in the activities listed in WAC
					 246-16-100(1) and
					 (2).
Statutory Authority: Chapter 18.225 RCW. 09-15-039,
						§ 246-809-049, filed 7/8/09, effective 7/8/09. Statutory Authority:
						RCW
						18.155.040,
						18.19.050,
						18.225.040,
						18.205.060,
						18.130.050. 08-07-090, §
						246-809-049, filed 3/19/08, effective 4/19/08. Statutory Authority:
						RCW
						18.225.040,
						18.130.050. 06-09-032, §
						246-809-049, filed 4/12/06, effective
						5/13/06.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-809 - Licensure for mental health counselors, marriage and family therapists, and social workers › LICENSED COUNSELORS AND ASSOCIATE COUNSELORS - GENERAL REQUIREMENTS › Section 246-809-060 - Mandatory reporting

Current through Register Vol. 24-14, July 15, 2024
All reports required by this chapter shall be submitted to
					 the department as required by chapter 246-16 WAC, but no later than twenty days
					 after a determination is made.
Statutory Authority:
						RCW
						18.225.040,
						18.130.050. 06-09-032, §
						246-809-060, filed 4/12/06, effective
						5/13/06.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-809 - Licensure for mental health counselors, marriage and family therapists, and social workers › LICENSED COUNSELORS AND ASSOCIATE COUNSELORS - GENERAL REQUIREMENTS › Section 246-809-080

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: 2001 c 251,
						RCW
						43.70.250. 01-17-113, § 246-809-080,
						filed 8/22/01, effective 9/22/01.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-809 - Licensure for mental health counselors, marriage and family therapists, and social workers › LICENSED COUNSELORS AND ASSOCIATE COUNSELORS - GENERAL REQUIREMENTS › Section 246-809-090 - Co-occurring disorder enhancement specialist eligibility

Current through Register Vol. 24-14, July 15, 2024
Licensed counselors licensed under chapter 18.225 RCW and
					 this chapter are eligible to apply for a co-occurring disorder specialist
					 enhancement to their existing license according to the conditions of
					 RCW
					 18.205.105 and chapter 246-804
					 WAC.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-809 - Licensure for mental health counselors, marriage and family therapists, and social workers › LICENSED COUNSELORS AND ASSOCIATE COUNSELORS - GENERAL REQUIREMENTS › Section 246-809-095 - Probationary license

Current through Register Vol. 24-14, July 15, 2024
(1) The department
				  shall issue a probationary license to out-of-state applicants seeking licensure
				  in Washington state for an advanced social worker, independent clinical social
				  worker, mental health counselor, or marriage and family therapist according to
				  the conditions and restrictions of the reciprocity program established in
				  RCW
				  18.225.140 and this chapter.
(2) The out-of-state license must be from a
				  state or territory identified on a list published by the department as eligible
				  for reciprocity for the purposes of a probationary license for the particular
				  behavioral health profession.
(3)
				  An initial probationary license is valid for one year. To receive an initial
				  probationary license, the applicant must submit to the department a completed
				  application to include:
(a) Verification of
				  their out-of-state license; and
(b)
				  The fee according to WAC
				  246-809-990.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-809 - Licensure for mental health counselors, marriage and family therapists, and social workers › LICENSED MARRIAGE AND FAMILY THERAPISTS AND LICENSED MARRIAGE AND FAMILY THERAPY ASSOCIATES › Section 246-809-100 - One year exemption option

Current through Register Vol. 24-14, July 15, 2024
Persons who submit an application for licensure as a
					 marriage and family therapist by July 1, 2010, and who have held a registered
					 counselor credential issued under chapter 18.19 RCW in good standing for five
					 consecutive years since obtaining their master's degree in an approved field,
					 are deemed to have met the supervised postgraduate experience requirements of
					 WAC 246-809-130. Applicants must meet
					 the education requirements in WAC
					 246-809-120 and the examination
					 requirements of WAC
					 246-809-140.
Statutory Authority: Chapter 18.225 RCW. 09-15-039,
						§ 246-809-100, filed 7/8/09, effective
						7/8/09.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-809 - Licensure for mental health counselors, marriage and family therapists, and social workers › LICENSED MARRIAGE AND FAMILY THERAPISTS AND LICENSED MARRIAGE AND FAMILY THERAPY ASSOCIATES › Section 246-809-110 - Definitions

Current through Register Vol. 24-14, July 15, 2024
The following terms apply to the licensure of marriage and
					 family therapists and marriage and family therapist associates, in WAC
					 246-809-100 through
					 246-809-140.
(1) "Approved educational program" means:
(a) Any college or university accredited by a
				  national or regional accrediting body recognized by the Commission on
				  Recognition of Postsecondary Accreditation or its successor; or
(b) A program accredited by the Commission on
				  Accreditation for Marriage and Family Therapy Education (COAMFTE), at the time
				  the applicant completed the required education.