(1) As a condition of renewing a license, a licensed midwife shall:
- (a) Participate in a Washington state coordinated quality improvement program peer review process that complies with the requirements in RCW 43.70.510.
- (b) Attest every two years that the midwife has completed peer review for a minimum of five of the midwife's clinical cases over the course of those two years.
- (2) A midwife may be excused from or granted an extension of participation in a peer review process due to illness or other extenuating circumstances. The department, upon request, will determine if the requirements may be waived or if an extension may be granted.
- (3) For auditing purposes, written confirmation of participation in a peer review process from the approved coordinated quality improvement program shall suffice. The midwife must keep their participation records; records must not be sent to the department.
- (4) Verification of completion of participation in a peer review process will begin on January 1, 2018.
[Statutory Authority: RCW 18.50.115, 18.50.135, 43.70.613, 2022 c 289, and 2021 c 276. WSR 24-10-091, § 246-834-360, filed 4/30/24, effective 6/6/24. Statutory Authority: RCW 18.50.102 and 18.50.135. WSR 15-24-092, § 246-834-360, filed 11/30/15, effective 12/31/15.]