Spinal manipulationEndorsement. (Effective July 1, 2020.)

(1) A physical therapist may perform spinal manipulation only after being issued a spinal manipulation endorsement by the secretary. The secretary, upon approval by the board, shall issue an endorsement to a physical therapist who has at least one year of full-time, orthopedic, postgraduate practice experience that consists of direct patient care and averages at least thirty-six hours a week and who provides evidence in a manner acceptable to the board of all of the following additional requirements:
(a) Training in differential diagnosis of no less than one hundred hours outlined within a course curriculum;
(b) Didactic and practical training related to the delivery of spinal manipulative procedures of no less than two hundred fifty hours clearly delineated and outlined in a course curriculum;
(c) Specific training in spinal diagnostic imaging of no less than one hundred fifty hours outlined in a course curriculum; and
(d) At least three hundred hours of supervised clinical practical experience in spinal manipulative procedures. The supervised clinical practical experience must:
(i) Be supervised by a clinical supervisor who:
(A) Holds a spinal manipulation endorsement under this section; or
(B) Is a licensed chiropractor or osteopathic physician and surgeon;
(ii) Be under the close supervision of the clinical supervisor for a minimum of the first one hundred fifty hours of the supervised clinical practical experience, after which the supervised clinical practical experience must be under the direct supervision of the clinical supervisor.
(iii) Be completed within eighteen months of completing the educational requirements in (a) through (c) of this subsection, unless the physical therapist has completed the educational requirements in (a) through (c) of this subsection prior to July 1, 2015, in which case the supervised clinical practical experience must be completed by January 1, 2017.
(2) A physical therapist holding a spinal manipulation endorsement under subsection (1) of this section shall consult with a health care practitioner, other than a physical therapist, authorized to perform spinal manipulation if spinal manipulative procedures are required beyond six treatments.
(3) A physical therapist holding a spinal manipulation endorsement under subsection (1) of this section may not:
(a) Have a practice in which spinal manipulation constitutes the majority of the services provided;
(b) Practice or utilize chiropractic manipulative therapy in any form;
(c) Delegate spinal manipulation; or
(d) Bill a health carrier for spinal manipulation separately from, or in addition to, other physical therapy procedures.
(4) A physical therapist holding a spinal manipulation endorsement under this section shall complete continuing education directly related to spinal manipulation as specified in WAC 246-915-085.
(5) If a physical therapist is intending to perform spinal manipulation on a patient who the physical therapist knows is being treated by a chiropractor for the same diagnosis, the physical therapist shall make reasonable efforts to coordinate patient care with the chiropractor to prevent conflict or duplication of services.
[Statutory Authority: RCW 18.74.023 and 43.70.442. WSR 15-14-093, § 246-915-381, filed 6/29/15, effective 7/1/15.]
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