WASHINGTON ADMINISTRATIVE CODE ARCHIVE

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
246-817-001	Purpose.
246-817-010	Definitions.
246-817-015	Adjudicative proceedings—Procedural rules for the dental quality assurance commission.
LICENSURE—APPLICATION AND ELIGIBILITY REQUIREMENTS
246-817-101	Dental licenses—Types authorized.
246-817-110	Dental licensure—Initial eligibility and application requirements.
246-817-120	Examination content.
246-817-135	Dental licensure without examination—Eligibility and application requirements.
246-817-150	Licenses—Persons licensed or qualified out-of-state who are faculty at school of dentistry—Conditions.
246-817-160	Graduates of nonaccredited schools.
246-817-185	Temporary practice permits—Eligibility.
246-817-186	Temporary practice permits—Issuance and duration.
246-817-187	Temporary practice permit—Military spouse eligibility and issuance.
246-817-190	Dental assistant registration.
246-817-195	Licensure requirements for expanded function dental auxiliaries (EFDAs).
246-817-200	Licensure without examination for expanded function dental auxiliary (EFDA).
246-817-205	Dental anesthesia assistant certification requirements.
246-817-210	Expired credential.
246-817-220	Inactive license.
246-817-230	Dentist retired active status.
GENERAL PRACTICE REQUIREMENTS AND PROHIBITIONS
246-817-301	Display of licenses.
246-817-304	Definitions.
246-817-305	Patient record content.
246-817-310	Patient record retention and accessibility requirements.
246-817-315	Business records accessibility.
246-817-320	Report of patient injury or mortality.
246-817-330	Prescriptions.
246-817-350	Recording requirement for scheduled drugs.
246-817-370	Nondiscrimination.
246-817-380	Patient abandonment.
246-817-390	Representation of care, fees, and records.
246-817-400	Disclosure of provider services.
246-817-410	Disclosure of membership affiliation.
246-817-420	Specialty representation.
246-817-430	A rule applicable to dental technicians.
246-817-440	Dentist continuing education requirements.
246-817-441	Dentist suicide prevention education.
246-817-445	Dental anesthesia assistant continuing education requirements.
SEXUAL MISCONDUCT
246-817-450	Definitions.
246-817-460	Sexual misconduct.
DELEGATIONS OF DUTIES TO PERSONS NOT LICENSED AS DENTISTS
246-817-501	Purpose.
246-817-510	Definitions.
246-817-520	Supportive services that may be performed by registered dental assistants.
246-817-525	Supportive services that may be performed by licensed expanded function dental auxiliaries (EFDAs).
246-817-530	An act that may be performed by unlicensed persons outside the treatment facility.
246-817-540	Acts that may not be performed by registered dental assistants.
246-817-545	Acts that may not be performed by licensed expanded function dental auxiliaries (EFDAs).
246-817-550	Acts that may be performed by licensed dental hygienists under general supervision.
246-817-560	Acts that may be performed by licensed dental hygienists under close supervision.
246-817-570	Acts that may not be performed by dental hygienists.
246-817-580	Novel coronavirus disease 2019 screening.
246-817-581	Novel coronavirus disease 2019 vaccination.
INFECTION CONTROL
246-817-601	Purpose.
246-817-610	Definitions.
246-817-615	Administrative, education, and training.
246-817-625	Personnel safety.
246-817-635	Hand hygiene.
246-817-640	Personal protective equipment.
246-817-645	Respiratory hygiene and cough etiquette.
246-817-650	Safe injection and sharps safety.
246-817-655	Sterilization and disinfection, environmental infection prevention and control.
246-817-660	Dental unit water quality.
ADMINISTRATION OF ANESTHETIC AGENTS FOR DENTAL PROCEDURES
246-817-701	Administration of anesthetic agents for dental procedures.
246-817-710	Definitions.
246-817-720	Basic life support requirements.
246-817-722	Defibrillator.
246-817-724	Recordkeeping, equipment and emergency medications or drugs required in all sites where anesthetic agents of any kind are administered.
246-817-730	Local anesthesia.
246-817-740	"Minimal sedation by inhalation" (to include, but not limited to, nitrous oxide).
246-817-745	"Minimal sedation."
246-817-755	Moderate sedation.
246-817-760	Moderate sedation with parenteral agents.
246-817-770	General anesthesia and deep sedation.
246-817-771	Dental anesthesia assistant.
246-817-772	Requirements for anesthesia monitor.
246-817-774	Permitting/renewal requirements.
246-817-776	Discharge criteria for all levels of sedation/general anesthesia.
246-817-778	Nondental anesthesia providers.
246-817-780	Mandatory reporting of death or significant complication as a result of any dental procedure.
246-817-790	Application of chapter 18.130 RCW.
SUBSTANCE ABUSE MONITORING PROGRAMS
246-817-801	Intent.
246-817-810	Terms used in WAC 246-817-801 through 246-817-830.
246-817-820	Approval of substance abuse monitoring programs.
246-817-830	Participation in approved substance abuse monitoring program.
OPIOID PRESCRIBING Opioid Prescribing—General Provisions
246-817-901	Intent and scope.
246-817-905	Exclusions.
246-817-906	Definitions.
246-817-907	Patient notification, secure storage, and disposal.
246-817-908	Use of alternative modalities for pain treatment.
246-817-909	Continuing education requirements for opioid prescribing.
246-817-911	Diagnosis identified on prescription.
Opioid Prescribing—Acute Nonoperative Pain and Acute Perioperative Pain
246-817-913	Treatment plan—Acute nonoperative pain and acute perioperative pain.
Opioid Prescribing—Subacute Pain
246-817-915	Patient evaluation and patient record.
246-817-916	Treatment plan—Subacute pain.
Opioid Prescribing—Chronic Pain Management
246-817-919	Patient evaluation and patient record.
246-817-920	Treatment plan.
246-817-930	Written agreement for treatment.
246-817-935	Periodic review.
246-817-950	Consultation—Recommendations and requirements.
246-817-955	Consultation—Exemptions for exigent and special circumstances.
246-817-960	Consultation—Exemptions for the dentist.
246-817-965	Pain management specialist.
246-817-966	Assessment of treatment plan.
246-817-967	Patients with chronic pain, including those on high doses, establishing a relationship with a new dentist.
Opioid Prescribing—Special Populations
246-817-970	Special populations—Patients twenty-four years of age or under, pregnant patients, and aging populations.
246-817-971	Episodic care of chronic opioid patients.
Opioid Prescribing—Coprescribing
246-817-975	Coprescribing of opioids with certain medications.
246-817-976	Coprescribing of opioids for patients receiving medication assisted treatment.
246-817-977	Coprescribing of naloxone.
Opioid Prescribing—Prescribing Monitoring Program
246-817-980	Prescription monitoring program—Required registration, queries, and documentation.
FEES
246-817-990	Dentist fees and renewal cycle.
246-817-99005	Dental assistant, dental anesthesia assistant, and expanded function dental auxiliary fees and renewal cycle.

DISPOSITION OF SECTIONS FORMERLY CODIFIED IN THIS TITLE


246-817-130	Licensure 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.
246-817-140	Licensure 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.
246-817-155	Dental 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.
246-817-170	Applications—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.
246-817-175	Conscious 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.
246-817-180	General 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.
246-817-201	Application 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.
246-817-340	Recording 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.
246-817-360	Prescribing, 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.
246-817-620	Use 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.
246-817-630	Management 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.
246-817-750	Conscious 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.
246-817-910	Definitions. [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.
246-817-925	Informed 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.
246-817-940	Long-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.
246-817-945	Episodic 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.