1. (1) Community health worker (CHW) services must be initiated and recommended by a physician or other licensed practitioner of the healing arts, as specified in 42 C.F.R. 440.130.

2. (2) During the initiating visit, the health care professional:

   1. (a) Identifies that the client exhibits one of the criteria found in WAC 182-562-0200(2);
   2. (b) Establishes a care plan; and
   3. (c) Provides a written recommendation for the client to see a CHW or community health representative (CHR). A written recommendation for services may be provided in physical or electronic form including, but not limited to, electronic health records (EHRs), secure digital forms, or other compliant electronic documentations.
3. (3) The initiating visit must be personally performed by the licensed practitioner of the healing arts, as specified in 42 C.F.R. 440.130.

[Statutory Authority: RCW 41.05.021, 41.05.160, and 2024 c 376 s 211(43). WSR 25-06-056, s 182-562-0300, filed 2/28/25, effective 7/1/25.]