Chapter 246-853 WAC:

Complete ChapterHTML PDF

Including dispositions

Chapter 246-853 WAC

OSTEOPATHIC PHYSICIANS AND SURGEONS

WAC Sections

HTML PDF	246-853-020	Osteopathic medicine and surgery examination.
HTML PDF	246-853-025	Special purpose examination.
HTML PDF	246-853-030	Acceptable intern or residency programs.
HTML PDF	246-853-045	Inactive credential.
HTML PDF	246-853-050	Ethical considerations.
HTML PDF	246-853-065	Mandatory one-time training in suicide assessment, treatment, and management.
HTML PDF	246-853-070	Categories of creditable continuing professional education activities.
HTML PDF	246-853-075	Health equity continuing education training requirements.
HTML PDF	246-853-080	Continuing education.
HTML PDF	246-853-085	Approved colleges and schools of osteopathic medicine and surgery.
HTML PDF	246-853-090	Prior approval not required.
HTML PDF	246-853-100	Prohibited publicity and advertising.
HTML PDF	246-853-110	Permitted publicity and advertising.
HTML PDF	246-853-120	Malpractice suit reporting.
HTML PDF	246-853-135	Temporary practice permit.
HTML PDF	246-853-136	Temporary practice permit—Military spouse eligibility and issuance.
HTML PDF	246-853-140	Mandatory reporting.
HTML PDF	246-853-210	Expired license.
HTML PDF	246-853-220	Use of drugs or autotransfusion to enhance athletic ability.
HTML PDF	246-853-235	Retired active license.
HTML PDF	246-853-245	Reentry to practice requirements.
HTML PDF	246-853-290	Intent of substance use disorder monitoring.
HTML PDF	246-853-300	Definitions used relative to monitoring of an applicable impairing health condition.
HTML PDF	246-853-310	Approval of monitoring programs.
HTML PDF	246-853-320	Participation in substance use disorder monitoring program.
HTML PDF	246-853-330	Confidentiality.
HTML PDF	246-853-340	Examination appeal procedures.
HTML PDF	246-853-350	Examination conduct.
HTML PDF	246-853-500	Adjudicative proceedings.
HTML PDF	246-853-600	Sexual misconduct.
HTML PDF	246-853-610	Abuse.
HTML PDF	246-853-630	Use of laser, light, radiofrequency, and plasma devices as applied to the skin.
HTML PDF	246-853-640	Nonsurgical medical cosmetic procedures.
HTML PDF	246-853-650	Safe and effective analgesia and anesthesia administration in office-based settings.
HTML PDF	246-853-655	Administration of deep sedation and general anesthesia by osteopathic physicians in dental offices.
OPIOID PRESCRIBING—GENERAL PROVISIONS
HTML PDF	246-853-660	Intent and scope.
HTML PDF	246-853-661	Exclusions.
HTML PDF	246-853-662	Definitions.
HTML PDF	246-853-675	Patient notification, secure storage, and disposal.
HTML PDF	246-853-680	Use of alternative modalities for pain treatment.
HTML PDF	246-853-685	Continuing education requirements for opioid prescribing.
OPIOID PRESCRIBING—ACUTE NONOPERATIVE PAIN AND ACUTE PERIOPERATIVE PAIN
HTML PDF	246-853-690	Patient evaluation and patient record.
HTML PDF	246-853-695	Treatment plan—Acute nonoperative pain.
HTML PDF	246-853-700	Treatment plan—Acute perioperative pain.
OPIOID PRESCRIBING—SUBACUTE PAIN
HTML PDF	246-853-705	Patient evaluation and patient record.
HTML PDF	246-853-710	Treatment plan—Subacute pain.
OPIOID PRESCRIBING—CHRONIC PAIN MANAGEMENT
HTML PDF	246-853-715	Patient evaluation and patient record.
HTML PDF	246-853-720	Treatment plan.
HTML PDF	246-853-725	Written agreement for treatment.
HTML PDF	246-853-730	Periodic review.
HTML PDF	246-853-735	Consultation—Recommendations and requirements.
HTML PDF	246-853-740	Consultation—Exemptions for exigent and special circumstances.
HTML PDF	246-853-745	Consultation—Exemptions for the osteopathic physician.
HTML PDF	246-853-750	Pain management specialist.
HTML PDF	246-853-755	Tapering requirements.
HTML PDF	246-853-760	Patients with chronic pain, including those on high doses, establishing a relationship with a new practitioner.
OPIOID PRESCRIBING—SPECIAL POPULATIONS
HTML PDF	246-853-765	Special populations—Patients twenty-five years of age or under, pregnant patient, and aging populations.
HTML PDF	246-853-770	Episodic care of chronic opioid patients.
OPIOID PRESCRIBING—COPRESCRIBING
HTML PDF	246-853-775	Coprescribing of opioids with certain medications.
HTML PDF	246-853-780	Coprescribing of opioids for patients receiving medication assisted treatment.
HTML PDF	246-853-785	Coprescribing of naloxone.
OPIOID PRESCRIBING—PRESCRIPTION MONITORING PROGRAM
HTML PDF	246-853-790	Prescription monitoring program—Required registration, queries, and documentation.
HTML PDF	246-853-990	Osteopathic fees and renewal cycle.

DISPOSITION OF SECTIONS FORMERLY CODIFIED IN THIS TITLE


246-853-040	Renewal of licenses. [Statutory Authority: RCW 18.57.005. WSR 91-20-120 (Order 199B), § 246-853-040, filed 9/30/91, effective 10/31/91; WSR 90-24-055 (Order 100B), recodified as § 246-853-040, filed 12/3/90, effective 1/31/91. Statutory Authority: 1988 c 206 § 604. WSR 88-23-124 (Order PM 801), § 308-138-070, filed 11/23/88; Order PL 262, § 308-138-070, filed 1/13/77.] Repealed by WSR 98-05-060, filed 2/13/98, effective 3/16/98. Statutory Authority: RCW 43.70.280.
246-853-060	Continuing professional education required. [Statutory Authority: RCW 43.70.280. WSR 98-05-060, § 246-853-060, filed 2/13/98, effective 3/16/98. Statutory Authority: RCW 18.57.005. WSR 90-24-055 (Order 100B), recodified as § 246-853-060, filed 12/3/90, effective 1/31/91. Statutory Authority: RCW 18.57.005, 18.57A.020 and 18.57A.070. WSR 84-05-011 (Order PL 457), § 308-138-200, filed 2/7/84. Statutory Authority: 1979 c 117 § 3(4). WSR 79-12-066 (Order 324), § 308-138-200, filed 11/29/79.] Repealed by WSR 24-21-095, filed 10/17/24, effective 11/17/24. Statutory Authority: RCW 18.57.005 and 43.70.041.
246-853-130	General provisions for mandatory reporting rules. [Statutory Authority: RCW 18.57.005, 18.57A.020, and 18.130.250. WSR 15-16-085, § 246-853-130, filed 7/31/15, effective 8/31/15. Statutory Authority: RCW 18.57.005. WSR 91-20-120 (Order 199B), § 246-853-130, filed 9/30/91, effective 10/31/91; WSR 90-24-055 (Order 100B), recodified as § 246-853-130, filed 12/3/90, effective 1/31/91. Statutory Authority: RCW 18.57.005 and 18.130.070. WSR 87-11-062 (Order PM 651), § 308-138-321, filed 5/20/87.] Repealed by WSR 20-09-025, filed 4/6/20, effective 5/7/20. Statutory Authority: RCW 18.57.005, 18.130.050, and 18.340.020.
246-853-150	Health care institutions. [Statutory Authority: RCW 18.57.005. WSR 90-24-055 (Order 100B), recodified as § 246-853-150, filed 12/3/90, effective 1/31/91. Statutory Authority: RCW 18.57.005 and 18.130.070. WSR 87-11-062 (Order PM 651), § 308-138-323, filed 5/20/87.] Repealed by WSR 20-09-025, filed 4/6/20, effective 5/7/20. Statutory Authority: RCW 18.57.005, 18.130.050, and 18.340.020.
246-853-160	Medical associations or societies. [Statutory Authority: RCW 18.57.005. WSR 90-24-055 (Order 100B), recodified as § 246-853-160, filed 12/3/90, effective 1/31/91. Statutory Authority: RCW 18.57.005 and 18.130.070. WSR 87-11-062 (Order PM 651), § 308-138-324, filed 5/20/87.] Repealed by WSR 20-09-025, filed 4/6/20, effective 5/7/20. Statutory Authority: RCW 18.57.005, 18.130.050, and 18.340.020.
246-853-170	Health care service contractors and disability insurance carriers. [Statutory Authority: RCW 18.57.005. WSR 90-24-055 (Order 100B), recodified as § 246-853-170, filed 12/3/90, effective 1/31/91. Statutory Authority: RCW 18.130.270 [ 18.130.070]. WSR 88-01-104 (Order PM 698), § 308-138-325, filed 12/22/87.] Repealed by WSR 20-09-025, filed 4/6/20, effective 5/7/20. Statutory Authority: RCW 18.57.005, 18.130.050, and 18.340.020.
246-853-180	Courts. [Statutory Authority: RCW 18.57.005. WSR 91-20-120 (Order 199B), § 246-853-180, filed 9/30/91, effective 10/31/91; WSR 90-24-055 (Order 100B), recodified as § 246-853-180, filed 12/3/90, effective 1/31/91. Statutory Authority: RCW 18.57.005 and 18.130.070. WSR 87-11-062 (Order PM 651), § 308-138-326, filed 5/20/87.] Repealed by WSR 20-09-025, filed 4/6/20, effective 5/7/20. Statutory Authority: RCW 18.57.005, 18.130.050, and 18.340.020.
246-853-190	State and federal agencies. [Statutory Authority: RCW 18.57.005. WSR 93-24-028, § 246-853-190, filed 11/22/93, effective 12/23/93; WSR 91-20-120 (Order 199B), § 246-853-190, filed 9/30/91, effective 10/31/91; WSR 90-24-055 (Order 100B), recodified as § 246-853-190, filed 12/3/90, effective 1/31/91. Statutory Authority: RCW 18.57.005 and 18.130.070. WSR 87-11-062 (Order PM 651), § 308-138-327, filed 5/20/87.] Repealed by WSR 20-09-025, filed 4/6/20, effective 5/7/20. Statutory Authority: RCW 18.57.005, 18.130.050, and 18.340.020.
246-853-200	Professional review organizations. [Statutory Authority: RCW 18.57.005. WSR 90-24-055 (Order 100B), recodified as § 246-853-200, filed 12/3/90, effective 1/31/91. Statutory Authority: RCW 18.130.270 [ 18.130.070]. WSR 88-01-104 (Order PM 698), § 308-138-328, filed 12/22/87.] Repealed by WSR 20-09-025, filed 4/6/20, effective 5/7/20. Statutory Authority: RCW 18.57.005, 18.130.050, and 18.340.020.
246-853-221	How do advanced registered nurse practitioners qualify for prescriptive authority for Schedule II - IV drugs? [Statutory Authority: RCW 18.57.005 and 18.57.280. WSR 01-16-008, § 246-853-221, filed 7/19/01, effective 8/19/01.] Repealed by WSR 06-05-050, filed 2/13/06, effective 3/16/06. Statutory Authority: RCW 18.57.005, 18.57.280.
246-853-222	Criteria for joint practice arrangement. [Statutory Authority: RCW 18.57.005 and 18.57.280. WSR 01-16-008, § 246-853-222, filed 7/19/01, effective 8/19/01.] Repealed by WSR 06-05-050, filed 2/13/06, effective 3/16/06. Statutory Authority: RCW 18.57.005, 18.57.280.
246-853-223	Endorsement of joint practice arrangements for ARNP licensure. [Statutory Authority: RCW 18.57.005 and 18.57.280. WSR 01-16-008, § 246-853-223, filed 7/19/01, effective 8/19/01.] Repealed by WSR 06-05-050, filed 2/13/06, effective 3/16/06. Statutory Authority: RCW 18.57.005, 18.57.280.
246-853-224	Process for joint practice arrangement termination. [Statutory Authority: RCW 18.57.005 and 18.57.280. WSR 01-16-008, § 246-853-224, filed 7/19/01, effective 8/19/01.] Repealed by WSR 06-05-050, filed 2/13/06, effective 3/16/06. Statutory Authority: RCW 18.57.005, 18.57.280.
246-853-225	Seventy-two-hour limit. [Statutory Authority: RCW 18.57.005 and 18.57.280. WSR 01-16-008, § 246-853-225, filed 7/19/01, effective 8/19/01.] Repealed by WSR 06-05-050, filed 2/13/06, effective 3/16/06. Statutory Authority: RCW 18.57.005, 18.57.280.
246-853-226	Education for prescribing Schedule II - IV drugs. [Statutory Authority: RCW 18.57.005 and 18.57.280. WSR 01-16-008, § 246-853-226, filed 7/19/01, effective 8/19/01.] Repealed by WSR 06-05-050, filed 2/13/06, effective 3/16/06. Statutory Authority: RCW 18.57.005, 18.57.280.
246-853-227	Jurisdiction. [Statutory Authority: RCW 18.57.005 and 18.57.280. WSR 01-16-008, § 246-853-227, filed 7/19/01, effective 8/19/01.] Repealed by WSR 06-05-050, filed 2/13/06, effective 3/16/06. Statutory Authority: RCW 18.57.005, 18.57.280.
246-853-230	HIV/AIDS education and training. [Statutory Authority: RCW 18.57.005, 18.130.050, and 18.340.020. WSR 20-09-025, § 246-853-230, filed 4/6/20, effective 5/7/20. Statutory Authority: RCW 43.70.280. WSR 98-05-060, § 246-853-230, filed 2/13/98, effective 3/16/98. Statutory Authority: RCW 18.57.005. WSR 91-20-120 (Order 199B), § 246-853-230, filed 9/30/91, effective 10/31/91; WSR 90-24-055 (Order 100B), recodified as § 246-853-230, filed 12/3/90, effective 1/31/91. Statutory Authority: 1988 c 206 § 604. WSR 88-23-124 (Order PM 801), § 308-138-350, filed 11/23/88.] Repealed by WSR 21-02-017, filed 12/28/20, effective 1/28/21. Statutory Authority: RCW 18.57.005.
246-853-240	Application for registration. [Statutory Authority: RCW 18.57.005. WSR 91-20-120 (Order 199B), § 246-853-240, filed 9/30/91, effective 10/31/91; WSR 90-24-055 (Order 100B), recodified as § 246-853-240, filed 12/3/90, effective 1/31/91. Statutory Authority: 1988 c 206 § 604. WSR 88-23-124 (Order PM 801), § 308-138-360, filed 11/23/88.] Repealed by WSR 98-05-060, filed 2/13/98, effective 3/16/98. Statutory Authority: RCW 43.70.280.
246-853-260	USMLE examination application deadline. [Statutory Authority: RCW 18.57.005 and 18.130.050. WSR 94-15-068, § 246-853-260, filed 7/19/94, effective 8/19/94. Statutory Authority: RCW 18.57.005 and 18.130.175. WSR 91-10-043 (Order 159B), § 246-853-260, filed 4/25/91, effective 5/26/91.] Repealed by WSR 15-16-085, filed 7/31/15, effective 8/31/15. Statutory Authority: RCW 18.57.005, 18.57A.020, and 18.130.250.
246-853-270	Renewal expiration date. [Statutory Authority: RCW 18.57.005 and 18.130.175. WSR 91-10-043 (Order 159B), § 246-853-270, filed 4/25/91, effective 5/26/91.] Repealed by WSR 98-05-060, filed 2/13/98, effective 3/16/98. Statutory Authority: RCW 43.70.280.
246-853-275	Change of mailing address and notice of official documents. [Statutory Authority: RCW 18.57.005. WSR 93-24-028, § 246-853-275, filed 11/22/93, effective 12/23/93.] Repealed by WSR 98-05-060, filed 2/13/98, effective 3/16/98. Statutory Authority: RCW 43.70.280.
246-853-400	Brief adjudicative proceedings—Denials based on failure to meet education, experience, or examination prerequisites for licensure. [Statutory Authority: RCW 18.57.005 and chapter 18.57 RCW. WSR 92-20-001 (Order 303B), § 246-853-400, filed 9/23/92, effective 10/24/92.] Repealed by WSR 20-09-025, filed 4/6/20, effective 5/7/20. Statutory Authority: RCW 18.57.005, 18.130.050, and 18.340.020.
246-853-510	Use of controlled substances for pain control. [Statutory Authority: RCW 18.57.005, 18.130.050, and chapters 18.57, 18.18.57A [18.57A] RCW. WSR 07-11-058, § 246-853-510, filed 5/11/07, effective 6/11/07.] Repealed by WSR 11-10-062, filed 5/2/11, effective 7/1/11. Statutory Authority: RCW 18.57.285, 18.57A.090, 18.57.005, 18.57A.020.
246-853-520	What specific guidance should an osteopathic physician follow? [Statutory Authority: RCW 18.57.005, 18.130.050, and chapters 18.57, 18.18.57A [18.57A] RCW. WSR 07-11-058, § 246-853-520, filed 5/11/07, effective 6/11/07.] Repealed by WSR 11-10-062, filed 5/2/11, effective 7/1/11. Statutory Authority: RCW 18.57.285, 18.57A.090, 18.57.005, 18.57A.020.
246-853-530	What knowledge should an osteopathic physician who elects to treat chronic pain patients possess? [Statutory Authority: RCW 18.57.005, 18.130.050, and chapters 18.57, 18.18.57A [18.57A] RCW. WSR 07-11-058, § 246-853-530, filed 5/11/07, effective 6/11/07.] Repealed by WSR 11-10-062, filed 5/2/11, effective 7/1/11. Statutory Authority: RCW 18.57.285, 18.57A.090, 18.57.005, 18.57A.020.
246-853-540	How will the board evaluate prescribing for pain? [Statutory Authority: RCW 18.57.005, 18.130.050, and chapters 18.57, 18.18.57A [18.57A] RCW. WSR 07-11-058, § 246-853-540, filed 5/11/07, effective 6/11/07.] Repealed by WSR 11-10-062, filed 5/2/11, effective 7/1/11. Statutory Authority: RCW 18.57.285, 18.57A.090, 18.57.005, 18.57A.020.
246-853-663	Patient evaluation. [Statutory Authority: RCW 18.57.285, 18.57A.090, 18.57.005, 18.57A.020. WSR 11-10-062, § 246-853-663, filed 5/2/11, effective 7/1/11.] Repealed by WSR 18-20-087, filed 10/1/18, effective 11/1/18. Statutory Authority: RCW 18.57.800, 18.57A.800 and 2017 c 297.
246-853-664	Treatment plan. [Statutory Authority: RCW 18.57.285, 18.57A.090, 18.57.005, 18.57A.020. WSR 11-10-062, § 246-853-664, filed 5/2/11, effective 7/1/11.] Repealed by WSR 18-20-087, filed 10/1/18, effective 11/1/18. Statutory Authority: RCW 18.57.800, 18.57A.800 and 2017 c 297.
246-853-665	Informed consent. [Statutory Authority: RCW 18.57.285, 18.57A.090, 18.57.005, 18.57A.020. WSR 11-10-062, § 246-853-665, filed 5/2/11, effective 7/1/11.] Repealed by WSR 18-20-087, filed 10/1/18, effective 11/1/18. Statutory Authority: RCW 18.57.800, 18.57A.800 and 2017 c 297.
246-853-666	Written agreement for treatment. [Statutory Authority: RCW 18.57.285, 18.57A.090, 18.57.005, 18.57A.020. WSR 11-10-062, § 246-853-666, filed 5/2/11, effective 7/1/11.] Repealed by WSR 18-20-087, filed 10/1/18, effective 11/1/18. Statutory Authority: RCW 18.57.800, 18.57A.800 and 2017 c 297.
246-853-667	Periodic review. [Statutory Authority: RCW 18.57.285, 18.57A.090, 18.57.005, 18.57A.020. WSR 11-10-062, § 246-853-667, filed 5/2/11, effective 7/1/11.] Repealed by WSR 18-20-087, filed 10/1/18, effective 11/1/18. Statutory Authority: RCW 18.57.800, 18.57A.800 and 2017 c 297.
246-853-668	Long-acting opioids, including methadone. [Statutory Authority: RCW 18.57.285, 18.57A.090, 18.57.005, 18.57A.020. WSR 11-10-062, § 246-853-668, filed 5/2/11, effective 7/1/11.] Repealed by WSR 18-20-087, filed 10/1/18, effective 11/1/18. Statutory Authority: RCW 18.57.800, 18.57A.800 and 2017 c 297.
246-853-669	Episodic care. [Statutory Authority: RCW 18.57.285, 18.57A.090, 18.57.005, 18.57A.020. WSR 11-10-062, § 246-853-669, filed 5/2/11, effective 7/1/11.] Repealed by WSR 18-20-087, filed 10/1/18, effective 11/1/18. Statutory Authority: RCW 18.57.800, 18.57A.800 and 2017 c 297.
246-853-670	Consultation—Recommendations and requirements. [Statutory Authority: RCW 18.57.285, 18.57A.090, 18.57.005, 18.57A.020. WSR 11-10-062, § 246-853-670, filed 5/2/11, effective 7/1/11.] Repealed by WSR 18-20-087, filed 10/1/18, effective 11/1/18. Statutory Authority: RCW 18.57.800, 18.57A.800 and 2017 c 297.
246-853-671	Consultation—Exemptions for exigent and special circumstances. [Statutory Authority: RCW 18.57.285, 18.57A.090, 18.57.005, 18.57A.020. WSR 11-10-062, § 246-853-671, filed 5/2/11, effective 7/1/11.] Repealed by WSR 18-20-087, filed 10/1/18, effective 11/1/18. Statutory Authority: RCW 18.57.800, 18.57A.800 and 2017 c 297.
246-853-672	Consultation—Exemptions for the osteopathic physician. [Statutory Authority: RCW 18.57.285, 18.57A.090, 18.57.005, 18.57A.020. WSR 11-10-062, § 246-853-672, filed 5/2/11, effective 7/1/11.] Repealed by WSR 18-20-087, filed 10/1/18, effective 11/1/18. Statutory Authority: RCW 18.57.800, 18.57A.800 and 2017 c 297.
246-853-673	Pain management specialist. [Statutory Authority: RCW 18.57.285, 18.57A.090, 18.57.005, 18.57A.020. WSR 11-10-062, § 246-853-673, filed 5/2/11, effective 7/1/11.] Repealed by WSR 18-20-087, filed 10/1/18, effective 11/1/18. Statutory Authority: RCW 18.57.800, 18.57A.800 and 2017 c 297.