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WAC 388-835-0725

What requirements apply to paying overpayments and underpayments?

(1) Within thirty days after submitting a preliminary or final settlement report to the provider, DSHS must pay any underpayments it owes.
(2) If a provider received overpayments or payments in error from DSHS, they must refund those payments within thirty days after receiving the preliminary or final settlement report.
(3) If a provider fails to comply with subsection (2) and the contract has not been terminated, DSHS must deduct the amount the provider owes, plus interest, from the department's current monthly payment due to the provider. The interest rate charged by DSHS on any unpaid balance is one percent per month.
(4) If a provider fails to comply with subsection (2) and the contract has been terminated, DSHS may:
(a) Deduct the amount owed by the provider, plus interest, from any amounts due to the provider from the department. (The interest rate on any unpaid balance is of one percent per month); or
(b) Use whatever legal means is available to recover the overpayment or erroneous payment plus interest on the unpaid balance at the rate of one percent per month.
[Statutory Authority: RCW 71A.20.140. WSR 01-10-013, ยง 388-835-0725, filed 4/20/01, effective 5/21/01.]
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