Washington Administrative Code
2021 Archive

Chapter 246-341 WAC
Last Update: 5/25/21

BEHAVIORAL HEALTH AGENCY LICENSING AND CERTIFICATION REQUIREMENTS
PDF of Chapter Digest
WAC Sections
BEHAVIORAL HEALTH SERVICES—PURPOSE AND SCOPE
246-341-0100Behavioral health services—Purpose and scope.
246-341-0110Behavioral health services—Available certifications.
BEHAVIORAL HEALTH SERVICES—DEFINITIONS
246-341-0200Behavioral health services—Definitions.
BEHAVIORAL HEALTH SERVICES—AGENCY LICENSURE AND CERTIFICATION
246-341-0300Agency licensure and certification—General information.
246-341-0302Agency licensure and certification—Exemptions and alternative means or methods.
246-341-0310Agency licensure and certification—Deeming.
246-341-0320Agency licensure and certification—On-site reviews and plans of correction.
246-341-0335Agency licensure and certification—Denials, suspensions, revocations, and penalties.
246-341-0342Agency licensure and certification—Off-site locations.
246-341-0365Agency licensure and certification—Fee requirements.
246-341-0367Agency licensure and certification—Fee requirements for tribal attestations.
246-341-0370Agency licensure and certification—Appealing a department decision.
BEHAVIORAL HEALTH SERVICES—AGENCY ADMINISTRATION
246-341-0400Agency administration—Governing body requirements.
246-341-0410Agency administration—Administrator key responsibilities.
246-341-0420Agency policies and procedures.
246-341-0425Agency administration—Individual clinical record system.
BEHAVIORAL HEALTH SERVICES—PERSONNEL
246-341-0510Personnel—Agency record requirements.
246-341-0515Personnel—Agency staff requirements.
246-341-0520Personnel—Agency requirements for supervision of trainees, interns, volunteers, and students.
BEHAVIORAL HEALTH SERVICES—CLINICAL
246-341-0600Clinical—Individual rights.
246-341-0605Complaint process.
246-341-0640Clinical record content.
246-341-0650Clinical—Access to clinical records.
OUTPATIENT AND RECOVERY SUPPORT SERVICES
246-341-0700Outpatient and recovery support services—General.
246-341-0702Outpatient services—Individual mental health treatment services.
246-341-0704Outpatient services—Brief mental health intervention treatment services.
246-341-0706Outpatient services—Group mental health therapy services.
246-341-0708Outpatient services—Family therapy mental health services.
246-341-0710Outpatient services—Rehabilitative case management mental health services.
246-341-0712Outpatient services—Psychiatric medication management services.
246-341-0713Outpatient services—Medication monitoring services.
246-341-0714Outpatient services—Day support mental health services.
246-341-0718Recovery support services—Recovery support—General.
246-341-0720Outpatient services—Recovery support—Supported employment mental health and substance use disorder services.
246-341-0722Outpatient services—Recovery support—Supportive housing mental health and substance use disorder services.
246-341-0724Outpatient services—Recovery support—Peer support behavioral health services.
246-341-0725Recovery support services—Recovery support—Mental health peer respite.
246-341-0728Outpatient services—Recovery support—Applied behavior analysis mental health services.
246-341-0730Outpatient services—Consumer-run recovery support—Clubhouses.
246-341-0738Outpatient services—Level one outpatient substance use disorder services.
246-341-0740Outpatient services—Level two intensive outpatient substance use disorder services.
246-341-0742Outpatient services—Substance use disorder assessment only services.
246-341-0744Outpatient services—Information and assistance services—Substance use disorder services—General.
246-341-0746Outpatient services—Substance use disorder information and assistance services—Alcohol and drug information school.
246-341-0748Outpatient services—Substance use disorder information and assistance—Information and crisis services.
246-341-0750Outpatient services—Substance use disorder information and assistance—Emergency service patrol.
246-341-0754Outpatient services—Problem gambling and gambling disorder services.
INVOLUNTARY AND COURT-ORDERED OUTPATIENT TREATMENT
246-341-0800Involuntary and court-ordered—Noncompliance reporting for outpatient court-ordered substance use disorder treatment.
246-341-0805Involuntary and court-ordered—Outpatient less restrictive alternative (LRA) or conditional release support behavioral health services.
246-341-0810Involuntary and court-ordered—Designated crisis responder (DCR) services.
246-341-0815Involuntary and court-ordered—Substance use disorder counseling for RCW 46.61.5056.
246-341-0820Involuntary and court-ordered—Driving under the influence (DUI) substance use disorder assessment services.
CRISIS OUTPATIENT MENTAL HEALTH SERVICES
246-341-0900Crisis mental health services—General.
246-341-0905Crisis mental health services—Telephone support services.
246-341-0910Crisis mental health services—Outreach services.
246-341-0915Crisis mental health services—Stabilization services.
OPIOID TREATMENT PROGRAMS (OTP)
246-341-1000Opioid treatment programs (OTP)—General.
246-341-1005Opioid treatment programs (OTP)—Agency certification requirements.
246-341-1010Opioid treatment programs (OTP)—Agency staff requirements.
246-341-1015Opioid treatment programs (OTP)—Clinical record content and documentation requirements.
246-341-1020Opioid treatment programs (OTP)—Medical director responsibility.
246-341-1025Opioid treatment programs (OTP)—Medication management.
GENERAL REQUIREMENTS THAT APPLY TO RESIDENTIAL AND INPATIENT SERVICES
246-341-1050General requirements for mental health and substance use disorder inpatient and residential services.
246-341-1060General requirements for mental health and substance use disorder inpatient and residential services providing services under chapter 71.05 or 71.34 RCW.
246-341-1070Inpatient and residential substance use disorder services—General.
WITHDRAWAL MANAGEMENT, RESIDENTIAL SUBSTANCE USE DISORDER, AND MENTAL HEALTH INPATIENT SERVICES
246-341-1100Withdrawal management services.
246-341-1104Secure withdrawal management and stabilization services.
246-341-1108Residential substance use disorder treatment services—General.
246-341-1110Residential substance use disorder treatment services—Intensive inpatient services.
246-341-1112Residential substance use disorder treatment services—Low intensity (recovery house) residential treatment services.
246-341-1114Residential substance use disorder treatment services—Long-term treatment services.
246-341-1118Mental health inpatient services—General.
246-341-1124Mental health inpatient services—Rights related to antipsychotic medication.
246-341-1134Mental health inpatient services—Evaluation and treatment services.
246-341-1137Behavioral health inpatient services—Intensive behavioral health treatment services.
246-341-1138Mental health inpatient services—Child long-term inpatient program (CLIP).
246-341-1140Mental health inpatient services—Crisis stabilization unit and triage.
246-341-1154Mental health inpatient services—Competency evaluation and restoration.
246-341-1156Mental health inpatient services—Competency evaluation and restoration—Rights.
246-341-1158Mental health inpatient services—Competency evaluation and restoration—Seclusion and restraint.
DISPOSITION OF SECTIONS FORMERLY CODIFIED IN THIS TITLE
246-341-0305Agency licensure and certification—Application. [Statutory Authority: 2018 c 201 and 2018 c 291. WSR 19-09-062, § 246-341-0305, filed 4/16/19, effective 5/17/19.] Repealed by WSR 21-12-042, filed 5/25/21, effective 7/1/21. Statutory Authority: RCW 71.24.037, 71.05.560, 71.34.380, 18.205.160 and RCW 71.24.037; chapters 71.05, 71.24, and 71.34 RCW.
246-341-0315Agency licensure and certification—Renewals. [Statutory Authority: 2018 c 201 and 2018 c 291. WSR 19-09-062, § 246-341-0315, filed 4/16/19, effective 5/17/19.] Repealed by WSR 21-12-042, filed 5/25/21, effective 7/1/21. Statutory Authority: RCW 71.24.037, 71.05.560, 71.34.380, 18.205.160 and RCW 71.24.037; chapters 71.05, 71.24, and 71.34 RCW.
246-341-0325Agency licensure and certification—Approvals and provisional approvals. [Statutory Authority: 2018 c 201 and 2018 c 291. WSR 19-09-062, § 246-341-0325, filed 4/16/19, effective 5/17/19.] Repealed by WSR 21-12-042, filed 5/25/21, effective 7/1/21. Statutory Authority: RCW 71.24.037, 71.05.560, 71.34.380, 18.205.160 and RCW 71.24.037; chapters 71.05, 71.24, and 71.34 RCW.
246-341-0330Agency licensure and certification—Effective dates. [Statutory Authority: 2018 c 201 and 2018 c 291. WSR 19-09-062, § 246-341-0330, filed 4/16/19, effective 5/17/19.] Repealed by WSR 21-12-042, filed 5/25/21, effective 7/1/21. Statutory Authority: RCW 71.24.037, 71.05.560, 71.34.380, 18.205.160 and RCW 71.24.037; chapters 71.05, 71.24, and 71.34 RCW.
246-341-0340Agency licensure and certification—Adding a branch site. [Statutory Authority: 2018 c 201 and 2018 c 291. WSR 19-09-062, § 246-341-0340, filed 4/16/19, effective 5/17/19.] Repealed by WSR 21-12-042, filed 5/25/21, effective 7/1/21. Statutory Authority: RCW 71.24.037, 71.05.560, 71.34.380, 18.205.160 and RCW 71.24.037; chapters 71.05, 71.24, and 71.34 RCW.
246-341-0345Agency licensure and certification—Adding a new service. [Statutory Authority: 2018 c 201 and 2018 c 291. WSR 19-09-062, § 246-341-0345, filed 4/16/19, effective 5/17/19.] Repealed by WSR 21-12-042, filed 5/25/21, effective 7/1/21. Statutory Authority: RCW 71.24.037, 71.05.560, 71.34.380, 18.205.160 and RCW 71.24.037; chapters 71.05, 71.24, and 71.34 RCW.
246-341-0350Agency licensure and certification—Change in ownership. [Statutory Authority: 2018 c 201 and 2018 c 291. WSR 19-09-062, § 246-341-0350, filed 4/16/19, effective 5/17/19.] Repealed by WSR 21-12-042, filed 5/25/21, effective 7/1/21. Statutory Authority: RCW 71.24.037, 71.05.560, 71.34.380, 18.205.160 and RCW 71.24.037; chapters 71.05, 71.24, and 71.34 RCW.
246-341-0355Agency licensure and certification—Change in location. [Statutory Authority: 2018 c 201 and 2018 c 291. WSR 19-09-062, § 246-341-0355, filed 4/16/19, effective 5/17/19.] Repealed by WSR 21-12-042, filed 5/25/21, effective 7/1/21. Statutory Authority: RCW 71.24.037, 71.05.560, 71.34.380, 18.205.160 and RCW 71.24.037; chapters 71.05, 71.24, and 71.34 RCW.
246-341-0360Agency licensure and certification—Facility remodel. [Statutory Authority: 2018 c 201 and 2018 c 291. WSR 19-09-062, § 246-341-0360, filed 4/16/19, effective 5/17/19.] Repealed by WSR 21-12-042, filed 5/25/21, effective 7/1/21. Statutory Authority: RCW 71.24.037, 71.05.560, 71.34.380, 18.205.160 and RCW 71.24.037; chapters 71.05, 71.24, and 71.34 RCW.
246-341-0430Agency administration—Treatment facility requirements. [Statutory Authority: 2018 c 201 and 2018 c 291. WSR 19-09-062, § 246-341-0430, filed 4/16/19, effective 5/17/19.] Repealed by WSR 21-12-042, filed 5/25/21, effective 7/1/21. Statutory Authority: RCW 71.24.037, 71.05.560, 71.34.380, 18.205.160 and RCW 71.24.037; chapters 71.05, 71.24, and 71.34 RCW.
246-341-0500Personnel—Agency policies and procedures. [Statutory Authority: 2018 c 201 and 2018 c 291. WSR 19-09-062, § 246-341-0500, filed 4/16/19, effective 5/17/19.] Repealed by WSR 21-12-042, filed 5/25/21, effective 7/1/21. Statutory Authority: RCW 71.24.037, 71.05.560, 71.34.380, 18.205.160 and RCW 71.24.037; chapters 71.05, 71.24, and 71.34 RCW.
246-341-0610Clinical—Assessment. [Statutory Authority: 2018 c 201 and 2018 c 291. WSR 19-09-062, § 246-341-0610, filed 4/16/19, effective 5/17/19.] Repealed by WSR 21-12-042, filed 5/25/21, effective 7/1/21. Statutory Authority: RCW 71.24.037, 71.05.560, 71.34.380, 18.205.160 and RCW 71.24.037; chapters 71.05, 71.24, and 71.34 RCW.
246-341-0620Clinical—Individual service plan. [Statutory Authority: 2018 c 201 and 2018 c 291. WSR 19-09-062, § 246-341-0620, filed 4/16/19, effective 5/17/19.] Repealed by WSR 21-12-042, filed 5/25/21, effective 7/1/21. Statutory Authority: RCW 71.24.037, 71.05.560, 71.34.380, 18.205.160 and RCW 71.24.037; chapters 71.05, 71.24, and 71.34 RCW.
246-341-0716Outpatient services—Mental health outpatient services provided in a residential treatment facility (RTF). [Statutory Authority: 2018 c 201 and 2018 c 291. WSR 19-09-062, § 246-341-0716, filed 4/16/19, effective 5/17/19.] Repealed by WSR 21-12-042, filed 5/25/21, effective 7/1/21. Statutory Authority: RCW 71.24.037, 71.05.560, 71.34.380, 18.205.160 and RCW 71.24.037; chapters 71.05, 71.24, and 71.34 RCW.
246-341-0726Outpatient services—Recovery support—Wraparound facilitation mental health services. [Statutory Authority: 2018 c 201 and 2018 c 291. WSR 19-09-062, § 246-341-0726, filed 4/16/19, effective 5/17/19.] Repealed by WSR 21-12-042, filed 5/25/21, effective 7/1/21. Statutory Authority: RCW 71.24.037, 71.05.560, 71.34.380, 18.205.160 and RCW 71.24.037; chapters 71.05, 71.24, and 71.34 RCW.
246-341-0732Outpatient services—Consumer-run recovery support—Clubhouses—Management and operational requirements. [Statutory Authority: 2018 c 201 and 2018 c 291. WSR 19-09-062, § 246-341-0732, filed 4/16/19, effective 5/17/19.] Repealed by WSR 21-12-042, filed 5/25/21, effective 7/1/21. Statutory Authority: RCW 71.24.037, 71.05.560, 71.34.380, 18.205.160 and RCW 71.24.037; chapters 71.05, 71.24, and 71.34 RCW.
246-341-0734Outpatient services—Consumer-run recovery support—Clubhouses—Certification process. [Statutory Authority: 2018 c 201 and 2018 c 291. WSR 19-09-062, § 246-341-0734, filed 4/16/19, effective 5/17/19.] Repealed by WSR 21-12-042, filed 5/25/21, effective 7/1/21. Statutory Authority: RCW 71.24.037, 71.05.560, 71.34.380, 18.205.160 and RCW 71.24.037; chapters 71.05, 71.24, and 71.34 RCW.
246-341-0736Outpatient services—Consumer-run recovery support—Clubhouses—Employment-related services. [Statutory Authority: 2018 c 201 and 2018 c 291. WSR 19-09-062, § 246-341-0736, filed 4/16/19, effective 5/17/19.] Repealed by WSR 21-12-042, filed 5/25/21, effective 7/1/21. Statutory Authority: RCW 71.24.037, 71.05.560, 71.34.380, 18.205.160 and RCW 71.24.037; chapters 71.05, 71.24, and 71.34 RCW.
246-341-0752Outpatient services—Substance use disorder information and assistance—Screening and brief intervention. [Statutory Authority: 2018 c 201 and 2018 c 291. WSR 19-09-062, § 246-341-0752, filed 4/16/19, effective 5/17/19.] Repealed by WSR 21-12-042, filed 5/25/21, effective 7/1/21. Statutory Authority: RCW 71.24.037, 71.05.560, 71.34.380, 18.205.160 and RCW 71.24.037; chapters 71.05, 71.24, and 71.34 RCW.
246-341-0920Crisis mental health services—Peer support services. [Statutory Authority: 2018 c 201 and 2018 c 291. WSR 19-09-062, § 246-341-0920, filed 4/16/19, effective 5/17/19.] Repealed by WSR 21-12-042, filed 5/25/21, effective 7/1/21. Statutory Authority: RCW 71.24.037, 71.05.560, 71.34.380, 18.205.160 and RCW 71.24.037; chapters 71.05, 71.24, and 71.34 RCW.
246-341-1102Withdrawal management services—Youth. [Statutory Authority: 2018 c 201 and 2018 c 291. WSR 19-09-062, § 246-341-1102, filed 4/16/19, effective 5/17/19.] Repealed by WSR 21-12-042, filed 5/25/21, effective 7/1/21. Statutory Authority: RCW 71.24.037, 71.05.560, 71.34.380, 18.205.160 and RCW 71.24.037; chapters 71.05, 71.24, and 71.34 RCW.
246-341-1106Secure withdrawal management and stabilization services—Youth. [Statutory Authority: 2018 c 201 and 2018 c 291. WSR 19-09-062, § 246-341-1106, filed 4/16/19, effective 5/17/19.] Repealed by WSR 21-12-042, filed 5/25/21, effective 7/1/21. Statutory Authority: RCW 71.24.037, 71.05.560, 71.34.380, 18.205.160 and RCW 71.24.037; chapters 71.05, 71.24, and 71.34 RCW.
246-341-1116Residential substance use disorder treatment services—Youth residential services. [Statutory Authority: 2018 c 201 and 2018 c 291. WSR 19-09-062, § 246-341-1116, filed 4/16/19, effective 5/17/19.] Repealed by WSR 21-12-042, filed 5/25/21, effective 7/1/21. Statutory Authority: RCW 71.24.037, 71.05.560, 71.34.380, 18.205.160 and RCW 71.24.037; chapters 71.05, 71.24, and 71.34 RCW.
246-341-1120Mental health inpatient services—Posting of individual rights for minors. [Statutory Authority: 2018 c 201 and 2018 c 291. WSR 19-09-062, § 246-341-1120, filed 4/16/19, effective 5/17/19.] Repealed by WSR 21-12-042, filed 5/25/21, effective 7/1/21. Statutory Authority: RCW 71.24.037, 71.05.560, 71.34.380, 18.205.160 and RCW 71.24.037; chapters 71.05, 71.24, and 71.34 RCW.
246-341-1122Mental health inpatient services—Rights of individuals receiving inpatient services. [Statutory Authority: 2018 c 201 and 2018 c 291. WSR 19-09-062, § 246-341-1122, filed 4/16/19, effective 5/17/19.] Repealed by WSR 21-12-042, filed 5/25/21, effective 7/1/21. Statutory Authority: RCW 71.24.037, 71.05.560, 71.34.380, 18.205.160 and RCW 71.24.037; chapters 71.05, 71.24, and 71.34 RCW.
246-341-1126Mental health inpatient services—Policies and procedures—Adult. [Statutory Authority: 2018 c 201 and 2018 c 291. WSR 19-09-062, § 246-341-1126, filed 4/16/19, effective 5/17/19.] Repealed by WSR 21-12-042, filed 5/25/21, effective 7/1/21. Statutory Authority: RCW 71.24.037, 71.05.560, 71.34.380, 18.205.160 and RCW 71.24.037; chapters 71.05, 71.24, and 71.34 RCW.
246-341-1128Mental health inpatient services—Policies and procedures—Minors. [Statutory Authority: 2018 c 201 and 2018 c 291. WSR 19-09-062, § 246-341-1128, filed 4/16/19, effective 5/17/19.] Repealed by WSR 21-12-042, filed 5/25/21, effective 7/1/21. Statutory Authority: RCW 71.24.037, 71.05.560, 71.34.380, 18.205.160 and RCW 71.24.037; chapters 71.05, 71.24, and 71.34 RCW.
246-341-1130Mental health inpatient services—Treatment of a minor without consent of parent. [Statutory Authority: 2018 c 201 and 2018 c 291. WSR 19-09-062, § 246-341-1130, filed 4/16/19, effective 5/17/19.] Repealed by WSR 21-12-042, filed 5/25/21, effective 7/1/21. Statutory Authority: RCW 71.24.037, 71.05.560, 71.34.380, 18.205.160 and RCW 71.24.037; chapters 71.05, 71.24, and 71.34 RCW.
246-341-1132Mental health inpatient services—Treatment of a minor without consent of minor. [Statutory Authority: 2018 c 201 and 2018 c 291. WSR 19-09-062, § 246-341-1132, filed 4/16/19, effective 5/17/19.] Repealed by WSR 21-12-042, filed 5/25/21, effective 7/1/21. Statutory Authority: RCW 71.24.037, 71.05.560, 71.34.380, 18.205.160 and RCW 71.24.037; chapters 71.05, 71.24, and 71.34 RCW.
246-341-1136Mental health inpatient services—Exception—Long-term certification. [Statutory Authority: 2018 c 201 and 2018 c 291. WSR 19-09-062, § 246-341-1136, filed 4/16/19, effective 5/17/19.] Repealed by WSR 20-07-091, filed 3/17/20, effective 5/1/20. Statutory Authority: 2019 c 324, RCW 71.24.037, 71.24.648, and 71.24.649.
246-341-1142Mental health inpatient services—Crisis stabilization unit—Admission, assessment, and records. [Statutory Authority: 2018 c 201 and 2018 c 291. WSR 19-09-062, § 246-341-1142, filed 4/16/19, effective 5/17/19.] Repealed by WSR 21-12-042, filed 5/25/21, effective 7/1/21. Statutory Authority: RCW 71.24.037, 71.05.560, 71.34.380, 18.205.160 and RCW 71.24.037; chapters 71.05, 71.24, and 71.34 RCW.
246-341-1144Mental health inpatient services—Triage—Agency facility and administrative requirements. [Statutory Authority: 2018 c 201 and 2018 c 291. WSR 19-09-062, § 246-341-1144, filed 4/16/19, effective 5/17/19.] Repealed by WSR 21-12-042, filed 5/25/21, effective 7/1/21. Statutory Authority: RCW 71.24.037, 71.05.560, 71.34.380, 18.205.160 and RCW 71.24.037; chapters 71.05, 71.24, and 71.34 RCW.
246-341-1146Mental health inpatient services—Triage—Admission, assessment, and records. [Statutory Authority: 2018 c 201 and 2018 c 291. WSR 19-09-062, § 246-341-1146, filed 4/16/19, effective 5/17/19.] Repealed by WSR 21-12-042, filed 5/25/21, effective 7/1/21. Statutory Authority: RCW 71.24.037, 71.05.560, 71.34.380, 18.205.160 and RCW 71.24.037; chapters 71.05, 71.24, and 71.34 RCW.
246-341-1148Mental health inpatient services—Triage—Stabilization plan. [Statutory Authority: 2018 c 201 and 2018 c 291. WSR 19-09-062, § 246-341-1148, filed 4/16/19, effective 5/17/19.] Repealed by WSR 21-12-042, filed 5/25/21, effective 7/1/21. Statutory Authority: RCW 71.24.037, 71.05.560, 71.34.380, 18.205.160 and RCW 71.24.037; chapters 71.05, 71.24, and 71.34 RCW.
246-341-1150Mental health inpatient services—Triage—Discharge. [Statutory Authority: 2018 c 201 and 2018 c 291. WSR 19-09-062, § 246-341-1150, filed 4/16/19, effective 5/17/19.] Repealed by WSR 21-12-042, filed 5/25/21, effective 7/1/21. Statutory Authority: RCW 71.24.037, 71.05.560, 71.34.380, 18.205.160 and RCW 71.24.037; chapters 71.05, 71.24, and 71.34 RCW.
246-341-1152Mental health inpatient services—Triage—Involuntary. [Statutory Authority: 2018 c 201 and 2018 c 291. WSR 19-09-062, § 246-341-1152, filed 4/16/19, effective 5/17/19.] Repealed by WSR 21-12-042, filed 5/25/21, effective 7/1/21. Statutory Authority: RCW 71.24.037, 71.05.560, 71.34.380, 18.205.160 and RCW 71.24.037; chapters 71.05, 71.24, and 71.34 RCW.