Washington State Nursing Care Quality Assurance Commission (NCQAC) · NP

30 hours. Every two years. Tied to your birth month.

Below is exactly what Washington State Nursing Care Quality Assurance Commission (NCQAC) requires: mandatory topics, exemptions, accepted credit types, and documentation rules.

Updated April 2026Sourced from WSNCQAC(~8 min read

Compiled by Atlas CME from official board sources · Last updated July 9, 2026

Mandatory topics

For NPs, 30 hours is the total CME requirement. Washington also requires a set of one-time topics that count toward the 30-hour total.

Suicide Prevention[1]
6 hrs
One-time
One-time, 6-hour suicide assessment, treatment, and management training. RCW 43.70.442(5)(a)(iii) names 'advanced registered nurse practitioner, other than a certified registered nurse anesthetist' directly, alongside LPN and RN, under chapter 18.79 RCW — so the ARNP credential itself is bound by the statute, not only the underlying RN license. Hours count toward NCQAC-required CE. CRNAs are expressly excluded by the statute's own text.
View sourceVerbatim from source
A licensed practical nurse, registered nurse, or
RCW 43.70.442(5)(a)(iii). Note: the pre-June 30, 2027 version of this section uses the term 'advanced registered nurse practitioner'; a later amendment renames the term to 'advanced practice registered nurse' effective 2027-06-30, with the same scope and the same CRNA exclusion.See source [1] in Primary Sources
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Conditional requirements

These rules apply only when the trigger described under each card is met (for example, holding a state-issued controlled substance registration or treating a specific patient population). Each cites the underlying statute or rule directly.

ConditionalPharmacology[2]
15 hrs
Biennial

ARNPs with prescriptive authority must complete 15 additional CE hours in pharmacology per biennial ARNP renewal period

View sourceVerbatim from source
Provide a written declaration on forms provided by the commission of fifteen contact hours of continuing education during the renewal period in pharmacotherapeutics related to the licensee's scope of practice that are in addition to the thirty contact hours of continuing education required for renewal of the ARNP license as identified in WAC [246-840-360](http://app.leg.wa.gov/WAC/default.aspx?cite=246-840-360) (1)(c) and (2)(c) and [246-840-361](http://app.leg.wa.gov/WAC/default.aspx?cite=246-840-361); and
WAC 246-840-450(1)(b); also confirmed on NCQAC's renewal and continuing-competency pages: 'An additional 15 hours in pharmacology is required if you have prescriptive authority within the last two years.'See source [2] in Primary Sources
ConditionalOpioid/Substance Use[3]
4 hrs
One-time

ARNPs licensed to prescribe opioids in Washington

View sourceVerbatim from source
In order to prescribe an opioid in Washington state, an advanced registered nurse practitioner licensed to prescribe opioids shall complete a one-time continuing education requirement regarding best practices in the prescribing of opioids.
WAC 246-840-4655(1) — one-time opioid-prescribing CE requirement for ARNPs, at least four hours in length. Timing per WAC 246-840-4655(2): by the end of the first full CE reporting period after 2019-01-01 or after initial licensure, whichever is later.See source [3] in Primary Sources
Accepted credit

Credit must come from an organization accredited by the ACCME, AMA, Washington Medical Association, or AAFP. ACGME residency or fellowship time accrues toward the requirement. Teaching or presenting accredited CME can satisfy a portion of required hours.

Credit systemNotes
ANCC Contact Hour
ANCC-accredited CE accepted for base ARNP CE hours and pharmacology CE. National certification from ANCC and other recognized bodies required for ARNP licensure maintenance.SourceNCQAC Continuing Competency Page / WAC 246-840
Board-approved credit
CE from NCQAC-recognized providers accepted. Recertification documentation must be submitted via email to nursing@doh.wa.gov.SourceNCQAC Continuing Competency Page
Documentation & audit

Washington ARNP renewal is biennial (by birthday), distinct from the RN annual renewal cycle. ARNPs renew every two years; RNs renew every year.

Waivers & exemptions

No formal waivers or exemptions are published for Washington.

FAQ
Does Washington require pharmacology CE for NPs with prescriptive authority?
Yes. Washington's NCQAC continuing competency page and renewal page require ARNPs with prescriptive authority within the last two years to complete 15 CE hours relating to pharmacology per biennial ARNP renewal period, in addition to the base 30-hour CE requirement. This makes Washington one of the states with the highest pharmacology CE obligations for NPs — 45 total CE hours per biennium for prescriptive authority holders. Washington ARNPs have independent prescriptive authority without a physician collaborative agreement, and the pharmacology CE reflects the professional responsibility that comes with that independence.
Does Washington require opioid-prescribing CE for NPs?
Yes, but only for ARNPs who prescribe opioids. Per WAC 246-840-4655, an ARNP licensed to prescribe opioids must complete a one-time, at-least-4-hour CE course on best practices in opioid prescribing, by the end of the first full CE reporting period after January 1, 2019, or after initial licensure, whichever is later. This is a conditional (not universal) requirement, and it is completed once — not each renewal cycle. The course may count toward other NCQAC-required CE. This figure is specific to ARNPs: Washington's physician and PA opioid-prescribing analogs each require only 1 hour, so ARNPs should not assume the lower physician figure applies to them.
Does Washington require suicide prevention training for NPs?
Yes. Per RCW 43.70.442(5)(a)(iii), Washington ARNPs must complete a one-time, 6-hour training in suicide assessment, treatment, and management by the end of their first full licensure year. The statute names "advanced registered nurse practitioner, other than a certified registered nurse anesthetist" directly — the requirement binds the ARNP credential itself, alongside LPN and RN, not only the underlying RN license. This mirrors the identical requirement for Washington RNs (same statute, same 6-hour figure). Hours count toward NCQAC-required CE. CRNAs are expressly excluded by the statute's own text.
Is Washington in the APRN Compact?
No. Washington is a member of the Nursing Licensure Compact (NLC), which governs the underlying RN license, but Washington is not a member of the APRN Compact as of 2026. Washington ARNPs who wish to practice as ARNPs in other states must obtain individual ARNP licensure in each additional state. The NLC membership facilitates RN license portability in Washington but does not extend to ARNP practice privileges.
Does Washington require NPs to maintain national certification for ARNP renewal?
Yes. The NCQAC continuing competency page states that ARNPs must hold "an active certification in each area of advanced practice" as a renewal requirement. Recertification documentation must be submitted by email to nursing@doh.wa.gov. Certifications from ANCC, AANPCB, NCC, PNCB, and other bodies recognized for specific ARNP specialties are accepted. ARNPs should track their national certification renewal timelines separately from the NCQAC biennial cycle to ensure both are current at renewal time.
Where can I check my Washington NP/ARNP license renewal date?
Washington ARNPs can verify their license status and access renewal information through the NCQAC portal at https://nursing.wa.gov. The renewal page at https://nursing.wa.gov/node/117 provides ARNP-specific renewal requirements and portal access. ARNPs renew every two years by their birthday. NCQAC can also be contacted by phone at 360-236-4700 or by email at Nursing@doh.wa.gov for questions about renewal documentation and deadlines.

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Sources & Citations

Every mandatory topic and conditional requirement above cites the underlying statute or rule. Numbered references below correspond to the bracketed citations next to each requirement.

  1. Source
    Show verbatim text
    A licensed practical nurse, registered nurse, orRCW 43.70.442(5)(a)(iii). Note: the pre-June 30, 2027 version of this section uses the term 'advanced registered nurse practitioner'; a later amendment renames the term to 'advanced practice registered nurse' effective 2027-06-30, with the same scope and the same CRNA exclusion.
  2. Source
    Show verbatim text
    Provide a written declaration on forms provided by the commission of fifteen contact hours of continuing education during the renewal period in pharmacotherapeutics related to the licensee's scope of practice that are in addition to the thirty contact hours of continuing education required for renewal of the ARNP license as identified in WAC [246-840-360](http://app.leg.wa.gov/WAC/default.aspx?cite=246-840-360) (1)(c) and (2)(c) and [246-840-361](http://app.leg.wa.gov/WAC/default.aspx?cite=246-840-361); andWAC 246-840-450(1)(b); also confirmed on NCQAC's renewal and continuing-competency pages: 'An additional 15 hours in pharmacology is required if you have prescriptive authority within the last two years.'
  3. Source
    Show verbatim text
    In order to prescribe an opioid in Washington state, an advanced registered nurse practitioner licensed to prescribe opioids shall complete a one-time continuing education requirement regarding best practices in the prescribing of opioids.WAC 246-840-4655(1) — one-time opioid-prescribing CE requirement for ARNPs, at least four hours in length. Timing per WAC 246-840-4655(2): by the end of the first full CE reporting period after 2019-01-01 or after initial licensure, whichever is later. · Effective 2018-11-01