To apply to be listed in the licensed counselor supervisor directory, a facility or agency must:

(1) Provide mental health, substance use disorder, or co-occurring disorder services to persons with a behavioral health disorder;

(2) Operate under the authority of one or more of the following:

(a) Washington state departments and agencies listed in the government agency directory available on the state of Washington website;

(b) Federally recognized Indian tribes located within the state;

(c) Counties as listed in chapter 36.04 RCW;

(d) Community and technical colleges governed by the Washington state board for community and technical colleges;

(e) Colleges and universities governed by the Washington state higher education coordinating board;

(f) Hospitals licensed under chapter 70.41 RCW;

(g) Home health care agencies, home care agencies, and hospice care agencies licensed under chapter 70.127 RCW;

(h) Agencies and facilities licensed or certified under chapter 71.05 or 71.24 RCW; or

(i) Psychiatric hospitals, residential treatment facilities, and hospitals licensed under chapter 71.12 RCW;

(3) Submit to the department a completed application on forms provided by the department; and

(4) Submit to the department verification that at least one individual responsible for providing supervision to associates at the facility meets requirements in WAC 246-809-071.