(1) A co-occurring disorder specialist must follow ASAM criteria in the treatment of patients according to RCW 18.205.105 and this section.

(2) Clients must be assessed using ASAM criteria dimensions.

(3) If a client is assessed at a 2.1 or higher level of care according to ASAM criteria, the enhancement holder must make a reasonable effort to refer the client to the appropriate care setting as indicated by the enhancement holder's ASAM level of care decision.

(4) If an enhancement holder is unable to refer a client to the appropriate level of care based on ASAM criteria, then enhancement holder must substantiate the level of care or type of service chosen in the clinical record.