Washington Administrative Code
Title 246 - Health, Department of
PROFESSIONAL STANDARDS AND LICENSING
Chapter 246-922 - Podiatric physicians and surgeons
OPIOID PRESCRIBING-CHRONIC PAIN MANAGEMENT
Section 246-922-760 - Patients with chronic pain, including those on high doses-Establishing a relationship with a new podiatric physician
Universal Citation: WA Admin Code 246-922-760
Current through Register Vol. 24-24, December 15, 2024
(1) When a patient receiving chronic opioid pain medications changes to a new podiatric physician, it is normally appropriate for the podiatric physician to initially maintain the patient's current opioid doses. Over time, the podiatric physician may evaluate if any tapering or other adjustments in the treatment plan can or should be done.
(2) A podiatric physician's treatment of a new high-dose chronic pain patient is exempt from the mandatory consultation requirements of WAC 246-922-735 and the tapering requirements of WAC 246-922-755 for the first three months of newly established care if:
(a) The patient was previously being treated
with a dosage of opioids at or above one hundred twenty milligrams MED per day
for chronic pain under an established written agreement for treatment of the
same chronic condition or conditions;
(b) The patient's dose is stable and
nonescalating;
(c) The patient has
a demonstrated history in their record of compliance with treatment plans and
written agreements as documented by medical records and PMP queries;
and
(d) The patient has documented
functional stability, pain control, or improvements in function or pain
control, at the presenting dose.
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