Tribal Attestation

An “Indian health care provider” as defined in RCW 71.24.025 may attest to meeting state minimum standards for Behavioral Health Agency (BHA), Residential Treatment Facility (RTF), or Behavioral Health Hospital licensure. The department does not assert regulatory jurisdiction over a facility license issued through tribal attestation. Attestation is equivalent to a standard facility license.

State minimum standards
Attestation Applications and Forms

Once the department receives and signs the tribal attestation, a license will be issued to the undersigned tribe or tribal organization. Facilities licensed through attestation will be included in the current BHA Directory (or “Greenbook”) (xlsx). 

* If seeking Opioid Treatment Program (OTP) certification, please See the Tribal Attestation FAQ for more information about OTP certification requirements.   

Mail completed tribal attestation form, tribal license application, and administrative processing fee(s) to: 

Department of Health 
P.O. Box 1099 
Olympia, WA 98507-1099 

See the Tribal Attestation FAQ or call 360-236-4700 with questions about tribal attestation, amendments, or renewals.

Attestation Agreement and Facility Application Licensing Fees

Fees apply to new, renewed, or amended attestations and licensing applications (WAC 246-341-0367). 

Attestation agreement - $130

BHA License - $131 

RTF License - $131 

Behavioral Health Hospital License - $131 

Amending services (changing location or services) - $131 

Amending attestation (to add another facility type) - $130 

Attestation Agreement Renewal - $130 

License Renewal (for each facility type, as applicable) - $131 

Opioid Treatment Program (OTP) Licensing and Certification Information

In addition to attestation, there are other state and federal licensing and certification requirements that apply to all OTPs. 

See the Tribal Attestation FAQ for more information about OTP certification requirements.   

Information regarding mobile and fixed-site medication unit approval can be found at the links below: