State guide · Washington · Licensing

Washington licensing requirements

Medical license application, controlled-substance registration, Medicaid enrollment, telehealth rules, and CME for Washington.

Medical board

Washington Medical Commission

License timeline

60–90 days

IMLC member

Yes

CME hours

200 per 4 yrs

Renewal cycle

4 years

Separate CS registration

No

The information on this page is provided for general reference only and may not reflect recent regulatory or legislative changes. State licensing requirements, fees, and timelines change frequently. Always verify requirements directly with the relevant state agency or a qualified legal or compliance professional before making practice decisions. Nothing on this page constitutes legal advice.

State medical license

Washington physicians apply to the Washington Medical Commission through the Department of Health's online licensing system. Washington is an IMLC member.

Washington requires medical school graduation, 2 years of postgraduate training (3 years for IMGs), USMLE/COMLEX passage, and AIDS education (4-hour one-time requirement).

  • Apply through Washington DOH online portal
  • IMLC pathway available
  • Minimum 2 years postgraduate training (3 years for IMGs)
  • AIDS education (4 hours, one-time)
  • Suicide assessment training (one-time)
  • Initial license fee approximately $733 (Verify current)

Controlled-substance registration

Washington does not require a separate state-level Controlled Substance Registration beyond the federal DEA registration. Washington prescribers must register with the Washington PMP and check it before prescribing controlled substances.

Medicaid enrollment

Agency: Washington Health Care Authority (HCA) — Apple Health

Washington Medicaid (Apple Health) enrollment is administered by HCA through ProviderOne. Most beneficiaries are in Apple Health Managed Care plans.

Estimated timeline: Verify — typically 60–120 days

  • Apply through ProviderOne online enrollment
  • Apple Health Managed Care credentialing separate
  • Revalidation required every 5 years

Telehealth notes

Washington permits telehealth broadly with strong parity laws. Washington license required to treat Washington-located patients. Washington Telemedicine Training is required for telemedicine practice.

  • Washington license required to treat Washington-located patients
  • Washington Telemedicine Training required (one-time)
  • Telehealth parity laws apply to commercial and Medicaid
  • Audio-only telehealth permitted for many services

CME requirements

Washington requires 200 CME hours per 4-year renewal cycle (50 hours/year average). One-time suicide assessment training required pre-licensure or early in practice.

Total hours: 200 per 4-year cycle

Mandatory topics:

Suicide assessment, treatment, and management (one-time, 6 hours)Health equity (Verify — recent rule update may add hours)

Official resources

Bookmark these official agency portals for Washington licensing, controlled-substance registration, and Medicaid enrollment.

Looking for Washington entity formation and CPOM rules?

Practice entity types, CPOM enforcement, tax considerations, and employment law specifics for Washington.

View Washington business guide →

Get the complete practice startup guide

Everything you need to launch an independent practice — free download