Behavioral Health Providers
- Prior Authorization Requirements For Providers Prescribing Buprenorphine-Containing Products
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State law or statute prohibits or limits the use of prior authorization for buprenorphine containing products by either the state Medicaid plan or private insurance companies.
Health plans and state and school employee plans must cover at least one FDA-approved opioid agonist, antagonist and partial agonist without prior authorization. Wash. Rev. Code Ann. §48.43.760; Wash. Rev. Code Ann. §41.05.525
Upon initiation or renewal of Medicaid managed care plan, a managed health care system may not impose prior authorization on at least one FDA-approved opioid antagonist, agonist and partial agonist. Wash. Rev. Code Ann. §74.09.645
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- Education Required for Addiction Counselor Credentialing
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Washington credentials one type of addiction counselor. A Substance Use Disorder Professional requires, at minimum, an associate degree and accrual of 2,500 hours of supervised experience. A higher-level degree can substitute the number of hours (i.e. a person with a bachelor's degree needs 2,000 hours). Wash. Rev. Code §18.205.030 and Wash. Admin. Code §246-811 and Washington State Department of Health
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- Licensed Professional Counselor Ability to Diagnose
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Mental health counselors may apply the principles of human development, learning theory, psychotherapy, group dynamics, and etiology of mental illness and dysfunctional behavior to individuals, couples, families, groups and organizations for the purpose of treatment of mental disorders and promoting optimal mental health and functionality. Mental health counseling also includes, but is not limited to, the assessment, diagnosis and treatment of mental and emotional disorders, as well as the application of a wellness model of mental health. Wash. Rev. Code §18.225.010
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- Peer Support Specialist Certification or Credentialing Authority
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The certification standards and procedures for peer counselors are developed and administered by the Washington State Department of Social and Health Services. The standards include requirements for peer specialist qualifications, core competencies, training and examination, renewal, revocation and supervision.
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