Washington Administrative Code
2021 Archive

Chapter 246-817 WAC
Last Update: 12/22/21

DENTAL QUALITY ASSURANCE COMMISSION
(Formerly chapters 246-816 and 246-818 WAC)
PDF of Chapter Digest
WAC Sections
DENTISTS
246-817-001Purpose.
246-817-010Definitions.
246-817-015Adjudicative proceedings—Procedural rules for the dental quality assurance commission.
LICENSURE—APPLICATION AND ELIGIBILITY REQUIREMENTS
246-817-101Dental licenses—Types authorized.
246-817-110Dental licensure—Initial eligibility and application requirements.
246-817-120Examination content.
246-817-135Dental licensure without examination—Eligibility and application requirements.
246-817-150Licenses—Persons licensed or qualified out-of-state who are faculty at school of dentistry—Conditions.
246-817-160Graduates of nonaccredited schools.
246-817-185Temporary practice permits—Eligibility.
246-817-186Temporary practice permits—Issuance and duration.
246-817-187Temporary practice permit—Military spouse eligibility and issuance.
246-817-190Dental assistant registration.
246-817-195Licensure requirements for expanded function dental auxiliaries (EFDAs).
246-817-200Licensure without examination for expanded function dental auxiliary (EFDA).
246-817-205Dental anesthesia assistant certification requirements.
246-817-210Expired credential.
246-817-220Inactive license.
246-817-230Dentist retired active status.
GENERAL PRACTICE REQUIREMENTS AND PROHIBITIONS
246-817-301Display of licenses.
246-817-304Definitions.
246-817-305Patient record content.
246-817-310Patient record retention and accessibility requirements.
246-817-315Business records accessibility.
246-817-320Report of patient injury or mortality.
246-817-330Prescriptions.
246-817-350Recording requirement for scheduled drugs.
246-817-370Nondiscrimination.
246-817-380Patient abandonment.
246-817-390Representation of care, fees, and records.
246-817-400Disclosure of provider services.
246-817-410Disclosure of membership affiliation.
246-817-420Specialty representation.
246-817-430A rule applicable to dental technicians.
246-817-440Dentist continuing education requirements.
246-817-441Dentist suicide prevention education.
246-817-445Dental anesthesia assistant continuing education requirements.
SEXUAL MISCONDUCT
246-817-450Definitions.
246-817-460Sexual misconduct.
DELEGATIONS OF DUTIES TO PERSONS NOT LICENSED AS DENTISTS
246-817-501Purpose.
246-817-510Definitions.
246-817-520Supportive services that may be performed by registered dental assistants.
246-817-525Supportive services that may be performed by licensed expanded function dental auxiliaries (EFDAs).
246-817-530An act that may be performed by unlicensed persons outside the treatment facility.
246-817-540Acts that may not be performed by registered dental assistants.
246-817-545Acts that may not be performed by licensed expanded function dental auxiliaries (EFDAs).
246-817-550Acts that may be performed by licensed dental hygienists under general supervision.
246-817-560Acts that may be performed by licensed dental hygienists under close supervision.
246-817-570Acts that may not be performed by dental hygienists.
246-817-580Novel coronavirus disease 2019 screening.
246-817-581Novel coronavirus disease 2019 vaccination.
INFECTION CONTROL
246-817-601Purpose.
246-817-610Definitions.
246-817-615Administrative, education, and training.
246-817-625Personnel safety.
246-817-635Hand hygiene.
246-817-640Personal protective equipment.
246-817-645Respiratory hygiene and cough etiquette.
246-817-650Safe injection and sharps safety.
246-817-655Sterilization and disinfection, environmental infection prevention and control.
246-817-660Dental unit water quality.
ADMINISTRATION OF ANESTHETIC AGENTS FOR DENTAL PROCEDURES
246-817-701Administration of anesthetic agents for dental procedures.
246-817-710Definitions.
246-817-720Basic life support requirements.
246-817-722Defibrillator.
246-817-724Recordkeeping, equipment and emergency medications or drugs required in all sites where anesthetic agents of any kind are administered.
246-817-730Local anesthesia.
246-817-740"Minimal sedation by inhalation" (to include, but not limited to, nitrous oxide).
246-817-745"Minimal sedation."
246-817-755Moderate sedation.
246-817-760Moderate sedation with parenteral agents.
246-817-770General anesthesia and deep sedation.
246-817-771Dental anesthesia assistant.
246-817-772Requirements for anesthesia monitor.
246-817-774Permitting/renewal requirements.
246-817-776Discharge criteria for all levels of sedation/general anesthesia.
246-817-778Nondental anesthesia providers.
246-817-780Mandatory reporting of death or significant complication as a result of any dental procedure.
246-817-790Application of chapter 18.130 RCW.
SUBSTANCE ABUSE MONITORING PROGRAMS
246-817-801Intent.
246-817-810Terms used in WAC 246-817-801 through 246-817-830.
246-817-820Approval of substance abuse monitoring programs.
246-817-830Participation in approved substance abuse monitoring program.
OPIOID PRESCRIBING
Opioid PrescribingGeneral Provisions
246-817-901Intent and scope.
246-817-905Exclusions.
246-817-906Definitions.
246-817-907Patient notification, secure storage, and disposal.
246-817-908Use of alternative modalities for pain treatment.
246-817-909Continuing education requirements for opioid prescribing.
246-817-911Diagnosis identified on prescription.
Opioid PrescribingAcute Nonoperative Pain and Acute Perioperative Pain
246-817-913Treatment plan—Acute nonoperative pain and acute perioperative pain.
Opioid PrescribingSubacute Pain
246-817-915Patient evaluation and patient record.
246-817-916Treatment plan—Subacute pain.
Opioid PrescribingChronic Pain Management
246-817-919Patient evaluation and patient record.
246-817-920Treatment plan.
246-817-930Written agreement for treatment.
246-817-935Periodic review.
246-817-950Consultation—Recommendations and requirements.
246-817-955Consultation—Exemptions for exigent and special circumstances.
246-817-960Consultation—Exemptions for the dentist.
246-817-965Pain management specialist.
246-817-966Assessment of treatment plan.
246-817-967Patients with chronic pain, including those on high doses, establishing a relationship with a new dentist.
Opioid PrescribingSpecial Populations
246-817-970Special populations—Patients twenty-four years of age or under, pregnant patients, and aging populations.
246-817-971Episodic care of chronic opioid patients.
Opioid PrescribingCoprescribing
246-817-975Coprescribing of opioids with certain medications.
246-817-976Coprescribing of opioids for patients receiving medication assisted treatment.
246-817-977Coprescribing of naloxone.
Opioid PrescribingPrescribing Monitoring Program
246-817-980Prescription monitoring program—Required registration, queries, and documentation.
FEES
246-817-990Dentist fees and renewal cycle.
246-817-99005Dental assistant, dental anesthesia assistant, and expanded function dental auxiliary fees and renewal cycle.
DISPOSITION OF SECTIONS FORMERLY CODIFIED IN THIS TITLE
246-817-130Licensure without examination for dentists—Eligibility. [Statutory Authority: RCW 18.32.0365 and 18.32.215. WSR 08-23-017, § 246-817-130, filed 11/6/08, effective 12/7/08. Statutory Authority: RCW 18.32.035. WSR 95-21-041, § 246-817-130, filed 10/10/95, effective 11/10/95.] Repealed by WSR 16-16-039, filed 7/26/16, effective 8/26/16. Statutory Authority: RCW 18.32.0365 and 18.32.215.
246-817-140Licensure without examination for dentists—Licensing examination standards. [Statutory Authority: RCW 18.32.0365 and 18.32.215. WSR 08-23-017, § 246-817-140, filed 11/6/08, effective 12/7/08. Statutory Authority: RCW 18.32.035. WSR 95-21-041, § 246-817-140, filed 10/10/95, effective 11/10/95.] Repealed by WSR 16-16-039, filed 7/26/16, effective 8/26/16. Statutory Authority: RCW 18.32.0365 and 18.32.215.
246-817-155Dental resident license to full dental license—Conditions. [Statutory Authority: RCW 18.32.0365 and 18.32.040. WSR 08-23-018, § 246-817-155, filed 11/6/08, effective 12/7/08.] Repealed by WSR 18-01-106, filed 12/19/17, effective 1/19/18. Statutory Authority: RCW 18.32.002, 18.32.0365, and 18.32.040.
246-817-170Applications—Permits—Renewals for the administration of conscious sedation with multiple oral or parenteral agents or general anesthesia (including deep sedation). [Statutory Authority: RCW 18.32.035. WSR 95-21-041, § 246-817-170, filed 10/10/95, effective 11/10/95.] Repealed by WSR 09-04-042, filed 1/30/09, effective 3/2/09. Statutory Authority: RCW 18.32.640 and 18.32.0365.
246-817-175Conscious sedation with parenteral or multiple oral agents—Education and training requirements—Application. [Statutory Authority: RCW 18.32.035. WSR 95-21-041, § 246-817-175, filed 10/10/95, effective 11/10/95.] Repealed by WSR 09-04-042, filed 1/30/09, effective 3/2/09. Statutory Authority: RCW 18.32.640 and 18.32.0365.
246-817-180General anesthesia (including deep sedation)—Education and training requirements. [Statutory Authority: RCW 18.32.035. WSR 95-21-041, § 246-817-180, filed 10/10/95, effective 11/10/95.] Repealed by WSR 09-04-042, filed 1/30/09, effective 3/2/09. Statutory Authority: RCW 18.32.640 and 18.32.0365.
246-817-201Application for licensure—AIDS education requirements. [Statutory Authority: RCW 18.32.035. WSR 95-21-041, § 246-817-201, filed 10/10/95, effective 11/10/95.] Repealed by WSR 98-05-060, filed 2/13/98, effective 3/16/98. Statutory Authority: RCW 43.70.280.
246-817-340Recording requirements for all prescription drugs. [Statutory Authority: RCW 18.32.035. WSR 95-21-041, § 246-817-340, filed 10/10/95, effective 11/10/95.] Repealed by WSR 16-19-078, filed 9/20/16, effective 10/21/16. Statutory Authority: RCW 18.32.0365 and 18.32.655.
246-817-360Prescribing, dispensing or distributing drugs. [Statutory Authority: RCW 18.32.035. WSR 95-21-041, § 246-817-360, filed 10/10/95, effective 11/10/95.] Repealed by WSR 15-12-091, filed 6/2/15, effective 7/3/15. Statutory Authority: RCW 18.32.0365.
246-817-620Use of barriers and sterilization techniques. [Statutory Authority: RCW 18.32.035. WSR 95-21-041, § 246-817-620, filed 10/10/95, effective 11/10/95.] Repealed by WSR 21-01-214, filed 12/23/20, effective 1/23/21. Statutory Authority: RCW 18.32.002 and 18.32.0365.
246-817-630Management of single use items. [Statutory Authority: RCW 18.32.035. WSR 95-21-041, § 246-817-630, filed 10/10/95, effective 11/10/95.] Repealed by WSR 21-01-214, filed 12/23/20, effective 1/23/21. Statutory Authority: RCW 18.32.002 and 18.32.0365.
246-817-750Conscious sedation with an oral agent. [Statutory Authority: RCW 18.32.035. WSR 95-21-041, § 246-817-750, filed 10/10/95, effective 11/10/95.] Repealed by WSR 09-04-042, filed 1/30/09, effective 3/2/09. Statutory Authority: RCW 18.32.640 and 18.32.0365.
246-817-910Definitions. [Statutory Authority: RCW 18.32.785 and 18.32.0365. WSR 11-10-061, § 246-817-910, filed 5/2/11, effective 7/1/11.] Repealed by WSR 19-02-043, filed 12/26/18, effective 1/26/19. Statutory Authority: RCW 18.32.002, 18.32.0365, 18.32.800 and 2017 c 297.
246-817-925Informed consent. [Statutory Authority: RCW 18.32.785 and 18.32.0365. WSR 11-10-061, § 246-817-925, filed 5/2/11, effective 7/1/11.] Repealed by WSR 19-02-043, filed 12/26/18, effective 1/26/19. Statutory Authority: RCW 18.32.002, 18.32.0365, 18.32.800 and 2017 c 297.
246-817-940Long-acting opioids, including methadone. [Statutory Authority: RCW 18.32.785 and 18.32.0365. WSR 11-10-061, § 246-817-940, filed 5/2/11, effective 7/1/11.] Repealed by WSR 19-02-043, filed 12/26/18, effective 1/26/19. Statutory Authority: RCW 18.32.002, 18.32.0365, 18.32.800 and 2017 c 297.
246-817-945Episodic care. [Statutory Authority: RCW 18.32.785 and 18.32.0365. WSR 11-10-061, § 246-817-945, filed 5/2/11, effective 7/1/11.] Repealed by WSR 19-02-043, filed 12/26/18, effective 1/26/19. Statutory Authority: RCW 18.32.002, 18.32.0365, 18.32.800 and 2017 c 297.