HEALTH CARE AUTHORITY

[Filed August 26, 2021, 9:56 a.m., effective September 26, 2021]

Effective Date of Rule: Thirty-one days after filing.

Purpose: As required in RCW 71.34.670 for family-initiated treatment, the authority is adopting rules to define "appropriately trained professional person" operating within their scope of practice within Title 18 RCW for the purposes of conducting mental health and substance use disorder evaluations under RCW 71.34.600(3) and 71.34.650(1).

Citation of Rules Affected by this Order: New WAC 182-130-0100.

Statutory Authority for Adoption: RCW 71.34.670, 41.05.021, 41.05.160.

Adopted under notice filed as WSR 21-15-014 on July 8, 2021.

Changes Other than Editing from Proposed to Adopted Version:

Proposed/Adopted	WAC Subsection	Reason
WAC 182-130-0100(1)
Proposed	An appropriately trained professional person means a psychiatrist, psychologist, psychiatric nurse, social worker, licensed marriage and family therapist, licensed mental health counselor, and other mental health professionals as defined by the department of health under chapter 71.05 RCW.	Psychiatric advanced registered nurse practitioners have different education, training, certification, and continuing education that make them uniquely qualified to provide family initiated treatment.
Adopted	An appropriately trained professional person means a psychiatrist, psychologist, psychiatric nurse, social worker, licensed marriage and family therapist, licensed mental health counselor, psychiatric advanced registered nurse practitioner, and other mental health professionals as defined by the department of health under chapter 71.05 RCW.
WAC 182-130-0100(3)
Proposed	The professional person evaluating for mental health must hold mental health or co-occurring credentials.	To clarify admission rather than diagnosis.
Adopted	The professional person evaluating for purposes of admission or outpatient treatment for a mental health disorder must hold mental health or co-occurring credentials.	To clarify admission rather than diagnosis.
WAC 182-130-0100(4)
Proposed	The professional person evaluating for substance use disorder must hold substance use disorder or co-occurring credentials.	To clarify admission rather than diagnosis.
Adopted	The professional person evaluating for purposes of admission or outpatient treatment for a substance use disorder must hold substance use disorder or co-occurring credentials.	To clarify admission rather than diagnosis.

Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 1, Amended 0, Repealed 0.

Number of Sections Adopted at the Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.

Number of Sections Adopted on the Agency's own Initiative: New 0, Amended 0, Repealed 0.

Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 1, Amended 0, Repealed 0.

Number of Sections Adopted using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 1, Amended 0, Repealed 0.

Date Adopted: August 26, 2021.

Chapter 182-130 WAC

FAMILY INITIATED TREATMENT (FIT)

WAC 182-130-0100Family initiated treatment (FIT)—Appropriately trained professional person.

(1) An appropriately trained professional person means a psychiatrist, psychologist, psychiatric nurse, social worker, licensed marriage and family therapist, licensed mental health counselor, and other mental health professionals as defined by the department of health under chapter 71.05 RCW.

(2) An appropriately trained professional person can also be a substance use disorder professional, or those who hold co-occurring substance use disorder and mental health credentials as defined by the department of health under chapter 18.205 RCW.

(3) The professional person evaluating for mental health must hold mental health or co-occurring credentials.

(4) The professional person evaluating for substance use disorder must hold substance use disorder or co-occurring credentials.