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WAC 388-835-0900

How does a provider request an administrative review?

(1) A provider challenging an audit or settlement determination has a maximum of thirty days after receiving the finding or decision to file a written request for an administrative review.
(2) Written requests must be filed with the:
(a) Office of financial recovery services when the provider challenges an audit finding (adjusting journal entries or AJEs) or other audit determination; or
(b) DDA assistant secretary when the provider challenges a rate, desk review, or other settlement determination.
(3) The written request must:
(a) Be signed by the provider or facility administrator;
(b) Identify the specific determination being challenged and the date it was issued;
(c) State, as specifically as possible, the issues and regulations involved and why the provider claims the determination was erroneous; and
(d) Be accompanied by any documentation that will be used to support the provider's position.
[Statutory Authority: RCW 71A.12.030 and 44.04.280. WSR 15-09-069, § 388-835-0900, filed 4/15/15, effective 5/16/15. Statutory Authority: RCW 71A.20.140. WSR 01-10-013, § 388-835-0900, filed 4/20/01, effective 5/21/01.]
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