A dentist is not required to consult with a pain management specialist as described in WAC 246-817-965
when he or she has documented adherence to all standards of practice as defined in WAC 246-817-901
and when any one or more of the following conditions apply:
(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 expected return to or below their baseline dosage level;
(3) The dentist 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 dentist documents the patient's pain and function is stable and the patient is on a non-escalating dosage of opioids.
[Statutory Authority: RCW 18.32.785 and 18.32.0365. 11-10-061, § 246-817-955, filed 5/2/11, effective 7/1/11.]