Washington Administrative Code
2020 Archive

Chapter 246-922 WAC
Last Update: 12/4/20

PODIATRIC PHYSICIANS AND SURGEONS
PDF of Chapter Digest
WAC Sections
246-922-001Scope of practice.
246-922-010Definitions.
246-922-020Board officers.
246-922-030Approved schools of podiatric medicine.
246-922-032Postgraduate podiatric medical training defined.
246-922-033Eligibility for licensure.
246-922-035Temporary practice permit.
246-922-036Temporary practice permit—Military spouse eligibility and issuance.
246-922-040Examinations.
246-922-050Identification of licensees.
246-922-055Reciprocity requirements.
246-922-060Presumption of responsibility for advertisements.
246-922-080Advertisements prior to licensure prohibited.
246-922-130Mandatory reporting.
246-922-200Professional and ethical standards.
246-922-210Patient abandonment.
246-922-230Prohibited transactions.
246-922-235Prohibited publicity and advertising.
246-922-240Soliciting patients.
246-922-260Maintenance of patient records.
246-922-270Inventory of legend drugs and controlled substances.
246-922-285Retired active credential.
246-922-290Inactive credential.
246-922-295Expired license.
246-922-300Podiatric continuing education required.
246-922-310Categories of creditable podiatric continuing education activities.
246-922-400Intent.
246-922-405Definitions used relative to substance abuse monitoring.
246-922-410Approval of substance abuse monitoring programs.
246-922-415Participation in approved substance abuse monitoring program.
246-922-500Adjudicative proceedings.
246-922-600Sexual misconduct.
246-922-620Abuse.
246-922-650Safe and effective analgesia and anesthesia administration in office-based settings.
OPIOID PRESCRIBINGGENERAL PROVISIONS
246-922-660Intent and scope.
246-922-661Exclusions.
246-922-662Definitions.
246-922-675Patient notification, secure storage, and disposal.
246-922-680Use of alternative modalities for pain treatment.
246-922-685Continuing education requirements for opioid prescribing.
OPIOID PRESCRIBINGACUTE NONOPERATIVE PAIN AND ACUTE PERIOPERATIVE PAIN
246-922-690Patient evaluation and patient record.
246-922-695Acute nonoperative pain.
246-922-700Acute perioperative pain.
OPIOID PRESCRIBING FOR SUBACUTE PAIN
246-922-705Patient evaluation and patient record.
246-922-710Subacute pain.
OPIOID PRESCRIBINGCHRONIC PAIN MANAGEMENT
246-922-715Patient evaluation and patient record.
246-922-720Treatment plan.
246-922-725Written agreement for treatment.
246-922-730Periodic review.
246-922-735Consultation—Recommendations and requirements.
246-922-740Consultation—Exemptions for exigent and special circumstances.
246-922-745Consultation—Exemptions for the podiatric physician.
246-922-750Pain management specialist.
246-922-755Evaluation of, or change in, treatment plan.
246-922-760Patients with chronic pain, including those on high doses—Establishing a relationship with a new podiatric physician.
OPIOID PRESCRIBINGSPECIAL POPULATIONS
246-922-765Special populations—Patients twenty-five years of age or under, pregnant patients, and aging populations.
246-922-770Episodic care of chronic opioid patients.
OPIOID PRESCRIBINGCOPRESCRIBING
246-922-775Coprescribing of opioids with certain medications.
246-922-780Coprescribing of opioids for patients receiving medication assisted treatment.
246-922-785Coprescribing of naloxone.
OPIOID PRESCRIBINGPRESCRIPTION MONITORING PROGRAM
246-922-790Prescription monitoring program—Required registration, queries, and documentation.
246-922-990Podiatry fees and renewal cycle.
DISPOSITION OF SECTIONS FORMERLY CODIFIED IN THIS TITLE
246-922-045Examination conduct. [Statutory Authority: RCW 18.22.015. WSR 91-10-041 (Order 158B), § 246-922-045, filed 4/25/91, effective 5/26/91.] Repealed by WSR 18-18-053, filed 8/29/18, effective 9/29/18. Statutory Authority: RCW 18.22.015, 18.130.050, and 18.22.005.
246-922-070AIDS prevention and information education requirements. [Statutory Authority: RCW 43.70.280. WSR 98-05-060, § 246-922-070, filed 2/13/98, effective 3/16/98. Statutory Authority: RCW 18.22.015. WSR 91-10-041 (Order 158B), § 246-922-070, filed 4/25/91, effective 5/26/91; WSR 91-03-095 (Order 118B), recodified as § 246-922-070, filed 1/18/91, effective 2/18/91. Statutory Authority: RCW 18.22.015 and 1988 c 206 § 604. WSR 89-02-047 (Order PM 813), § 308-31-057, filed 12/30/88.] Repealed by WSR 21-01-024, filed 12/4/20, effective 1/4/21. Statutory Authority: RCW 18.22.015 and 2020 c 76.
246-922-090Delegation of acts to unlicensed persons. [Statutory Authority: RCW 18.22.015. WSR 91-10-041 (Order 158B), § 246-922-090, filed 4/25/91, effective 5/26/91; WSR 91-03-095 (Order 118B), recodified as § 246-922-090, filed 1/18/91, effective 2/18/91; WSR 87-04-050 (Order PM 638), § 308-31-100, filed 2/3/87; WSR 84-02-077 (Order PL 450), § 308-31-100, filed 1/4/84.] Repealed by WSR 99-14-074, filed 7/6/99, effective 8/6/99. Statutory Authority: RCW 18.22.015 and 18.130.050.
246-922-100Acts that may be delegated to an unlicensed person. [Statutory Authority: RCW 18.22.015 and 18.130.050. WSR 99-14-074, § 246-922-100, filed 7/6/99, effective 8/6/99. Statutory Authority: RCW 18.22.015. WSR 94-05-051, § 246-922-100, filed 2/10/94, effective 3/13/94; WSR 91-10-041 (Order 158B), § 246-922-100, filed 4/25/91, effective 5/26/91; WSR 91-03-095 (Order 118B), recodified as § 246-922-100, filed 1/18/91, effective 2/18/91; WSR 84-02-077 (Order PL 450), § 308-31-110, filed 1/4/84.] Repealed by WSR 16-01-114, filed 12/17/15, effective 1/17/16. Statutory Authority: RCW 18.22.015 and 18.130.050.
246-922-110Acts that may not be performed by unlicensed persons. [Statutory Authority: RCW 18.22.015. WSR 91-10-041 (Order 158B), § 246-922-110, filed 4/25/91, effective 5/26/91; WSR 91-03-095 (Order 118B), recodified as § 246-922-110, filed 1/18/91, effective 2/18/91; WSR 87-04-050 (Order PM 638), § 308-31-120, filed 2/3/87; WSR 84-02-077 (Order PL 450), § 308-31-120, filed 1/4/84.] Repealed by WSR 94-05-051, filed 2/10/94, effective 3/13/94. Statutory Authority: RCW 18.22.015.
246-922-120General provisions. [Statutory Authority: RCW 18.22.015. WSR 94-05-051, § 246-922-120, filed 2/10/94, effective 3/13/94; WSR 91-10-041 (Order 158B), § 246-922-120, filed 4/25/91, effective 5/26/91; WSR 91-03-095 (Order 118B), recodified as § 246-922-120, filed 1/18/91, effective 2/18/91. Statutory Authority: RCW 18.130.170 and chapter 18.22 RCW. WSR 90-12-013 (Order 060), § 308-31-210, filed 5/30/90, effective 6/30/90.] Repealed by WSR 18-18-052, filed 8/29/18, effective 9/29/18. Statutory Authority: RCW 18.22.015 and 18.22.005.
246-922-140Health care institutions. [Statutory Authority: RCW 18.22.015. WSR 91-10-041 (Order 158B), § 246-922-140, filed 4/25/91, effective 5/26/91; WSR 91-03-095 (Order 118B), recodified as § 246-922-140, filed 1/18/91, effective 2/18/91. Statutory Authority: RCW 18.130.170 and chapter 18.22 RCW. WSR 90-12-013 (Order 060), § 308-31-230, filed 5/30/90, effective 6/30/90.] Repealed by WSR 18-18-053, filed 8/29/18, effective 9/29/18. Statutory Authority: RCW 18.22.015, 18.130.050, and 18.22.005.
246-922-150Podiatric medical associations or societies. [Statutory Authority: RCW 18.22.015. WSR 91-10-041 (Order 158B), § 246-922-150, filed 4/25/91, effective 5/26/91; WSR 91-03-095 (Order 118B), recodified as § 246-922-150, filed 1/18/91, effective 2/18/91. Statutory Authority: RCW 18.130.170 and chapter 18.22 RCW. WSR 90-12-013 (Order 060), § 308-31-240, filed 5/30/90, effective 6/30/90.] Repealed by WSR 18-18-053, filed 8/29/18, effective 9/29/18. Statutory Authority: RCW 18.22.015, 18.130.050, and 18.22.005.
246-922-160Health care service contractors and disability insurance carriers. [Statutory Authority: RCW 18.22.015. WSR 91-10-041 (Order 158B), § 246-922-160, filed 4/25/91, effective 5/26/91; WSR 91-03-095 (Order 118B), recodified as § 246-922-160, filed 1/18/91, effective 2/18/91. Statutory Authority: RCW 18.130.170 and chapter 18.22 RCW. WSR 90-12-013 (Order 060), § 308-31-250, filed 5/30/90, effective 6/30/90.] Repealed by WSR 18-18-053, filed 8/29/18, effective 9/29/18. Statutory Authority: RCW 18.22.015, 18.130.050, and 18.22.005.
246-922-170State and federal agencies. [Statutory Authority: RCW 18.22.015. WSR 91-10-041 (Order 158B), § 246-922-170, filed 4/25/91, effective 5/26/91; WSR 91-03-095 (Order 118B), recodified as § 246-922-170, filed 1/18/91, effective 2/18/91. Statutory Authority: RCW 18.130.170 and chapter 18.22 RCW. WSR 90-12-013 (Order 060), § 308-31-260, filed 5/30/90, effective 6/30/90.] Repealed by WSR 18-18-053, filed 8/29/18, effective 9/29/18. Statutory Authority: RCW 18.22.015, 18.130.050, and 18.22.005.
246-922-180Professional review organizations. [Statutory Authority: RCW 18.22.015. WSR 91-10-041 (Order 158B), § 246-922-180, filed 4/25/91, effective 5/26/91; WSR 91-03-095 (Order 118B), recodified as § 246-922-180, filed 1/18/91, effective 2/18/91. Statutory Authority: RCW 18.130.170 and chapter 18.22 RCW. WSR 90-12-013 (Order 060), § 308-31-270, filed 5/30/90, effective 6/30/90.] Repealed by WSR 18-18-053, filed 8/29/18, effective 9/29/18. Statutory Authority: RCW 18.22.015, 18.130.050, and 18.22.005.
246-922-190Malpractice suit reporting. [Statutory Authority: RCW 18.22.015. WSR 91-10-041 (Order 158B), § 246-922-190, filed 4/25/91, effective 5/26/91; WSR 91-03-095 (Order 118B), recodified as § 246-922-190, filed 1/18/91, effective 2/18/91. Statutory Authority: RCW 18.130.170 and chapter 18.22 RCW. WSR 90-12-013 (Order 060), § 308-31-280, filed 5/30/90, effective 6/30/90.] Repealed by WSR 18-18-053, filed 8/29/18, effective 9/29/18. Statutory Authority: RCW 18.22.015, 18.130.050, and 18.22.005.
246-922-220Exercise of professional judgment and skills. [Statutory Authority: RCW 18.22.015. WSR 91-10-041 (Order 158B), § 246-922-220, filed 4/25/91, effective 5/26/91; WSR 91-03-095 (Order 118B), recodified as § 246-922-220, filed 1/18/91, effective 2/18/91; WSR 84-02-077 (Order PL 450), § 308-31-520, filed 1/4/84.] Repealed by WSR 94-05-051, filed 2/10/94, effective 3/13/94. Statutory Authority: RCW 18.22.015.
246-922-250Excessive fees. [Statutory Authority: RCW 18.22.015. WSR 91-10-041 (Order 158B), § 246-922-250, filed 4/25/91, effective 5/26/91; WSR 91-03-095 (Order 118B), recodified as § 246-922-250, filed 1/18/91, effective 2/18/91. Statutory Authority: RCW 18.22.015 and 18.22.010(5). WSR 86-22-042 (Order PM 624), § 308-31-550, filed 11/3/86. Statutory Authority: RCW 18.22.015. WSR 84-02-077 (Order PL 450), § 308-31-550, filed 1/4/84.] Repealed by WSR 94-05-051, filed 2/10/94, effective 3/13/94. Statutory Authority: RCW 18.22.015.
246-922-275Address notification. [Statutory Authority: RCW 18.22.015. WSR 93-18-036, § 246-922-275, filed 8/26/93, effective 9/26/93.] Repealed by WSR 98-05-060, filed 2/13/98, effective 3/16/98. Statutory Authority: RCW 43.70.280.
246-922-280Renewal expiration date. [Statutory Authority: RCW 18.22.015. WSR 91-10-041 (Order 158B), § 246-922-280, 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.
246-922-320Certification of compliance. [Statutory Authority: RCW 18.22.015. WSR 91-10-041 (Order 158B), § 246-922-320, 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.
246-922-510Use of controlled substances for pain control. [Statutory Authority: RCW 18.22.015, 18.130.050, and chapters 18.22, 18.130 RCW. WSR 07-11-059, § 246-922-510, filed 5/11/07, effective 6/11/07.] Repealed by WSR 11-10-063, filed 5/2/11, effective 7/1/11. Statutory Authority: RCW 18.22.240, 18.22.015(5).
246-922-520What specific guidance should a podiatric physician follow? [Statutory Authority: RCW 18.22.015, 18.130.050, and chapters 18.22, 18.130 RCW. WSR 07-11-059, § 246-922-520, filed 5/11/07, effective 6/11/07.] Repealed by WSR 11-10-063, filed 5/2/11, effective 7/1/11. Statutory Authority: RCW 18.22.240, 18.22.015(5).
246-922-530What knowledge should a podiatric physician who elects to treat chronic pain patients possess? [Statutory Authority: RCW 18.22.015, 18.130.050, and chapters 18.22, 18.130 RCW. WSR 07-11-059, § 246-922-530, filed 5/11/07, effective 6/11/07.] Repealed by WSR 11-10-063, filed 5/2/11, effective 7/1/11. Statutory Authority: RCW 18.22.240, 18.22.015(5).
246-922-540How will the board evaluate prescribing for pain? [Statutory Authority: RCW 18.22.015, 18.130.050, and chapters 18.22, 18.130 RCW. WSR 07-11-059, § 246-922-540, filed 5/11/07, effective 6/11/07.] Repealed by WSR 11-10-063, filed 5/2/11, effective 7/1/11. Statutory Authority: RCW 18.22.240, 18.22.015(5).
246-922-663Patient evaluation. [Statutory Authority: RCW 18.22.240, 18.22.015(5). WSR 11-10-063, § 246-922-663, filed 5/2/11, effective 7/1/11.] Repealed by WSR 18-20-085, filed 10/1/18, effective 11/1/18. Statutory Authority: RCW 18.22.005, 18.22.015, 18.22.800, and 2017 c 297.
246-922-664Treatment plan. [Statutory Authority: RCW 18.22.240, 18.22.015(5). WSR 11-10-063, § 246-922-664, filed 5/2/11, effective 7/1/11.] Repealed by WSR 18-20-085, filed 10/1/18, effective 11/1/18. Statutory Authority: RCW 18.22.005, 18.22.015, 18.22.800, and 2017 c 297.
246-922-665Informed consent. [Statutory Authority: RCW 18.22.240, 18.22.015(5). WSR 11-10-063, § 246-922-665, filed 5/2/11, effective 7/1/11.] Repealed by WSR 18-20-085, filed 10/1/18, effective 11/1/18. Statutory Authority: RCW 18.22.005, 18.22.015, 18.22.800, and 2017 c 297.
246-922-666Written agreement for treatment. [Statutory Authority: RCW 18.22.240, 18.22.015(5). WSR 11-10-063, § 246-922-666, filed 5/2/11, effective 7/1/11.] Repealed by WSR 18-20-085, filed 10/1/18, effective 11/1/18. Statutory Authority: RCW 18.22.005, 18.22.015, 18.22.800, and 2017 c 297.
246-922-667Periodic review. [Statutory Authority: RCW 18.22.240, 18.22.015(5). WSR 11-10-063, § 246-922-667, filed 5/2/11, effective 7/1/11.] Repealed by WSR 18-20-085, filed 10/1/18, effective 11/1/18. Statutory Authority: RCW 18.22.005, 18.22.015, 18.22.800, and 2017 c 297.
246-922-668Long-acting opioids, including methadone. [Statutory Authority: RCW 18.22.240, 18.22.015(5). WSR 11-10-063, § 246-922-668, filed 5/2/11, effective 7/1/11.] Repealed by WSR 18-20-085, filed 10/1/18, effective 11/1/18. Statutory Authority: RCW 18.22.005, 18.22.015, 18.22.800, and 2017 c 297.
246-922-669Episodic care. [Statutory Authority: RCW 18.22.240, 18.22.015(5). WSR 11-10-063, § 246-922-669, filed 5/2/11, effective 7/1/11.] Repealed by WSR 18-20-085, filed 10/1/18, effective 11/1/18. Statutory Authority: RCW 18.22.005, 18.22.015, 18.22.800, and 2017 c 297.
246-922-670Consultation—Recommendations and requirements. [Statutory Authority: RCW 18.22.240, 18.22.015(5). WSR 11-10-063, § 246-922-670, filed 5/2/11, effective 7/1/11.] Repealed by WSR 18-20-085, filed 10/1/18, effective 11/1/18. Statutory Authority: RCW 18.22.005, 18.22.015, 18.22.800, and 2017 c 297.
246-922-671Consultation—Exemptions for exigent and special circumstances. [Statutory Authority: RCW 18.22.240, 18.22.015(5). WSR 11-10-063, § 246-922-671, filed 5/2/11, effective 7/1/11.] Repealed by WSR 18-20-085, filed 10/1/18, effective 11/1/18. Statutory Authority: RCW 18.22.005, 18.22.015, 18.22.800, and 2017 c 297.
246-922-672Consultations—Exemptions for the podiatric physician. [Statutory Authority: RCW 18.22.240, 18.22.015(5). WSR 11-10-063, § 246-922-672, filed 5/2/11, effective 7/1/11.] Repealed by WSR 18-20-085, filed 10/1/18, effective 11/1/18. Statutory Authority: RCW 18.22.005, 18.22.015, 18.22.800, and 2017 c 297.
246-922-673Pain management specialist. [Statutory Authority: RCW 18.22.240, 18.22.015(5). WSR 11-10-063, § 246-922-673, filed 5/2/11, effective 7/1/11.] Repealed by WSR 18-20-085, filed 10/1/18, effective 11/1/18. Statutory Authority: RCW 18.22.005, 18.22.015, 18.22.800, and 2017 c 297.
246-922-995Conversion to a birthday renewal cycle. [Statutory Authority: RCW 43.70.280. WSR 98-05-060, § 246-922-995, filed 2/13/98, effective 3/16/98.] Repealed by WSR 05-12-012, filed 5/20/05, effective 7/1/05. Statutory Authority: RCW 43.70.250, [43.70.]280 and 43.70.110.