Wac implementation guide (wig)




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WAC IMPLEMENTATION GUIDE (WIG)

Chapter 388-805



Washington Administrative Code (WAC)

Certification Requirements for Chemical Dependency Service Providers




WAC effective 01/01/2009 Certification Section WIG effective 09/01/2009

WAC IMPLEMENTATION GUIDE (effective 09/01/2009)
The Washington Administrative Code (WAC) Implementation Guide (WIG) has three columns: the left column displays the rules governing the provision of certified chemical dependency services; the middle column is an interpretive guideline that includes background information and general expectations; and the right column describes survey procedures used by Certification Specialists of the Department of Social and Health Services, Division of Behavioral Health and Recovery (DBHR).


  • The left column is WAC 388-805. These rules are the minimum standards for certification of chemical dependency service providers. They were developed with extensive participation of chemical dependency treatment professionals in coordination with related specialty and affected organizations.




  • The middle column, Interpretive Guidelines, gives information on the background of the rules, and provides interpretations and expectations of WAC 388-805. It is intended to promote understanding of the WAC, improve consistency in interpretation and expectation by both providers and DRHB staff, and decrease the need for detail in the WAC when some flexibility is appropriate.




  • The right column includes survey procedures or methods that DBHR Certification Specialists use to measure whether or not, or to what extent, service providers meet WAC requirements. The intent of providing this information is to inform providers of DBHRs usual survey procedures and to promote consistency in practice. It can also serve as a training tool for new DBHR staff, and be used for self-survey by providers.

This document may be updated when it is determined necessary to update or provide new information in the last two columns. Your suggestions are welcome.



Send your suggestions to: WAC Implementation Guide

Certification Section Policy Manager

Division of Behavioral Health and Recovery DSHS/HRSA

P.O. Box 45330

Olympia, WA 98504-5330

DBHR Toll Free Main Line 1-877-301-4557 or 360- 725-3700


Download from the DBHR Website in PDF format at:

http://www.dshs.wa.gov/DASA/services/certification/Main/WACs-WIG.shtml

I.

PURPOSE AND

DEFINITIONS
388-805-001

388-805-005


II.

APPLICATION FOR CERTIFICATION


388-805-010
388-805-015
388-805-020
388-805-030
388-805-035

388-805-040

388-805-060
388-805-065
388-805-070

388-805-075


III.

CERTIFICATION FEES


388-805-080

388-805-085

388-805-090

388-805-095


IV.

MAINTAINING CERTIFICATION
388-805-100

VII.


PROFESSIONAL PRACTICES
388-805-300
388-805-305
388-805-310
388-805-315
388-805-320
388-805-325
388-805-330
VIII.

OUTCOMES EVALUATION
388-805-350
IX.

PROGRAM SERVICE STANDARDS
388-805-400
388-805-410
388-805-500
388-805-510
388-805-520
388-805-530
388-805-540
388-805-550
388-805-600
388-805-610


What is the purpose of this chapter?........................

What definitions are important throughout this chapter?………………………………………………...

What chemical dependency services are certified by the department?…………………………………....

How do I apply for certification as a chemical dependency service provider?……………………….

How do I apply for certification of a branch agency or added service?……………………………………...

What are the requirements for opiate substitution treatment program certification?………………….....

What are the responsibilities for the department when a applicant applies for approval of an opiate substitution treatment program?..............................

How does the department determine there is a need in the community for opiate substitution treatment?................................................................

How does the department conduct an examination of nonresidential facilities?…………………………....

How does the department determine disqualification or denial of an application?…………

What happens after I make application for certification?……………………………………………

How do I apply for an exemption?……………………

What are the fee requirements for certification?…..

What are the fees for agency certification?………...

May certification fees be waived?…………………...

How long are certificates effective?…………………


What do I need to do to maintain agency certification?……………………………………………

What must be included in the agency clinical manual?………………………………………………...

What are patients’ rights requirements in certified agencies?……………………………………………….

What are the requirements for chemical dependency assessments?…………………………..

What are the requirements for treatment, continuing care, transfer, and discharge plans?……

What are the requirements for a patient record system?…………………………………………………

What are the requirements for patient record content?………………………………………………...

What are the requirements for reporting patient noncompliance?……………………………………….

What are the requirements for outcomes evaluation?……………………………………………..

What are the requirements for detoxification providers?………………………………………………

What are the requirements for detox staffing and services?……………………………………………….

What are the requirements for residential providers?………………………………………………

What are the requirements for residential providers admitting youth?……………………………………….

What are the requirements for youth behavior management?………………………………………….

What are the requirements for intensive inpatient services?……………………………………………….

What are the requirements for recovery house services?……………………………………………….

What are the requirements for long-term treatment services?..................................................................

What are the requirements for outpatient providers?................................................................

What are the requirements for intensive outpatient treatment services?……………………………………


1
2-10
11-21
12-15
15-16
16-17

17-18


18-19
19-20
20-21
21-22

22

23



23

23-24


24

25-26

47-52
52-56
56-59
59-61
62-63
63-66
66-68
69
70
70-71
71
71-74
74-76
76
76
77
77
77-78




388-805-105

388-805-110

388-805-115


388-805-120

388-805-125

388-805-130
388-805-135


V.

ORGANIZATIONAL STANDARDS


388-805-140
388-805-145
388-805-150
388-805-155

VI.


HUMAN RESOURCE MANAGEMENT
388-805-200
388-805-205

388-805-210

388-805-220
388-805-225
388-805-230
388-805-240
388-805-250
388-805-260

388-805-620


388-805-625
388-805-630
388-805-640
388-805-700
388-805-710
388-805-715
388-805-720
388-805-730
388-805-740
388-805-750
388-805-800
388-805-810
388-805-820
388-805-830
388-805-840

388-805-855


APPENDICES
APPENDIX A

APPENDIX B

APPENDIX C
APPENDIX D

APPENDIX E

APPENDIX F

What do I need to do for a change in ownership?…

What do I do to relocate or remodel a facility?……..

How does the department deem national accreditation?…………………………………………..

How does the department assess penalties?……....

How does the department cancel certification?……

How does the department suspend or revoke certification?…………………………………………….

What is the prehearing, hearing, and appeals process?………………………………………………...

What are the requirements for a provider’s governing body?……………………………………….

What are the key responsibilities required of an agency administrator?………………………………..

What must be included in an agency administrative manual?………………………………………………...

What are the requirements for provider facilities?…

What must be included in an agency personnel manual?………………………………………………...

What are agency personnel file requirements?……

What are the requirements for approved supervisors of persons who are in training to become a chemical dependency professional trainees?...................................................................

What are the requirements to be a probation assessment officer?…………………………………..

What are the requirements to be a probation assessment officer trainee?………………………….

What are the requirements for supervising probation assessment officer trainees?…………….

What are the requirements for student practice in treatment agencies?…………………………………..

What are the requirements to be an information school instructor?……………………………………...

What are the requirements for using volunteers in a treatment agency?……………………………………..
What are the requirements for outpatient services?..................................................................

What are the requirements for outpatient services for persons subject to RCW 46.61.5056?................

What are the requirements for outpatient services in a school setting?……………………………………

What are the requirements for providing off-site chemical dependency treatment services?………...

What are the requirements for opiate substitution treatment program providers?………………………..

What are the requirements for opiate substitution medical management?………………………………..

What are the requirements for opiate substitution medication management?........................................

What are the requirements for drug testing in opiate substitution treatment?……………………......

What are the requirements for opiate substitution treatment dispensaries?………………………………

What are the requirements for opiate substitution treatment counseling?………………………………...

What are the requirements for opiate substitution treatment take-home medications?………………….

What are the requirements for ADATSA assessment services?………………………………...

What are the requirements for DUI assessment providers?………………………………………………

What are the requirements for alcohol and other drug information school?……………………………..

What are the requirements for information and crisis services?………………………………………...

What are the requirements for emergency service patrol?…………………………………………………...

What are the requirements of screening and brief intervention?.............................................................

CHILD ABUSE AND NEGLECT REPORTING

REPORTING ABUSE, NEGLECT
ABANDONMENT, AND FINANCIAL EXPLOITATION OF A VULNERABLE ADULT
CRIMINAL BACKGROUND CHECKS
REASONABLE SEARCHES

WEBSITES


ACRONYMS AND ABBREVIATIONS

26-27


27-28
28

29

29


29-30
30-31

32-33
33-34


34-36

36-37

38-40

40-43



43-44
44
45
45
45
45-46
46

78
78-79


79
80
80-81
81
82
82-83
83
83-84
84
85
85-86
86
86-87
87-88
88-89


SECTION I. PURPOSE AND DEFINITIONS




WAC 388-805-001 What is the purpose of this chapter?







These rules describe the standards and processes necessary to be a certified chemical dependency treatment program. The rules have been adopted under the authority and purposes of the following chapters of law.
(1) Chapter 10.05 RCW, Deferred Prosecution—Courts of Limited Jurisdiction;
(2) Chapter 46.61 RCW, Rules of the Road;
(3) Chapter 49.60 RCW, Discrimination—Human Rights Commission;
(4) Chapter 70.96A RCW, Treatment for Alcoholism, Intoxi­cation and Drug Addiction; and
(5) Chapter 74.50 RCW, Alcoholism and Drug Addiction Treatment and Support Act (ADATSA).



Chapter 10.05 RCW: The Deferred Prosecution Law, requires assessments, treatment, and reports by approved (DBHR certified) agencies.
Chapter 46.61 RCW: Rules of the Road, relates to DUI as­sessments, alcohol and drug information school, and treatment by certified providers.
RCW 49.60.010, “The legislature hereby finds and declares that practices of discrimination against any of its inhabitants because of race, creed, color, national origin, families with children, sex, marital status, age, or the presence of any sensory, mental, or physical disability or the use of a trained dog guide or service animal by a disabled person are a matter of state concern, that such discrimination threatens not only the rights and proper privileges of its inhabitants but menaces the institutions and foundation of a free democratic state.”
Chapter 49.60 RCW supports cultural diversity, sensitivity, and awareness through employment practices and service delivery, and needs to be considered throughout these rules.

Makes it an unfair practice to refuse to make reasonable accommodations to persons with disabilities.


Chapter 70.96A RCW is the primary law relating to the department’s responsibili­ties and authority to implement chemical dependency treatment services. It gives authority for promulgation of WACs, fees, penalties, treatment services, involuntary treatment, the Citizens Advisory Council on Alcoholism and Drug Addiction, county coordination, opiate dependency treatment, and operational matters.
Chapter 74.50 RCW: The Alcoholism and Drug Addiction Treatment and Support Act (ADATSA), establishes criteria for ADATSA funded services including eligibility. It requires assessments, treatment, and sup­port services, and sets priorities for treatment of pregnant women and parents of young children.
The Omnibus Controlled Substance and Alcohol Abuse Act of 1989 provided funds for residential treatment and transitional housing for pregnant women and their young children, and for childcare, but it references their treatment priorities in chapter 74.50 RCW. ADATSA is implemented through chapter 388-800 WAC.

Certification staff of the Division of Behavioral Health and Recovery (DBHR) will be informed about the content of these laws and will maintain paper or electronic copies for references when conducting on-site certification surveys.
For copies of RCWs and WACs, call the Legislative Bill Room at 360- 786-7573, or the Legislative Hotline at 1-800-562-6000, or visit the Washington State Code Reviser Website at leg.wa.gov/LawsAndAgencyRules/
RCWs and WACs are also available at your local library.


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