Section 246-919-935 - Consultation-Exemptions for exigent and special circumstances-Chronic pain A physician is not required to consult with a pain management specialist as defined in WAC 246-919-945 when the physician has documented adherence to all standards of practice as defined in WAC 246-919-905 through 246-919-925, and when one or more of the following conditions are met:
(1) The patient is following a tapering schedule;(2) The patient requires treatment for acute pain, which may or may not include hospitalization, requiring a temporary escalation in opioid dosage, with an expected return to their baseline dosage level or below;(3) The physician documents reasonable attempts to obtain a consultation with a pain management specialist and the circumstances justifying prescribing above one hundred twenty milligrams morphine equivalent dose (MED) per day without first obtaining a consultation; or(4) The physician documents the patient's pain and function are stable and the patient is on a nonescalating dosage of opioids.Wash. Admin. Code § 246-919-935
Adopted by WSR 18-23-061, Filed 11/16/2018, effective 1/1/2019