WAC 182-600-0700
WAC 182-600-0700. Administrative hearing
(1) The administrative hearing process is governed by chapters 34.05 RCW and 182-526 WAC.
(2) An LTSS provider who disagrees with the health care authority's (HCA) action to recoup inappropriate payments under RCW 50B.04.020 (2)(b) may request an administrative hearing under chapter 182-526 WAC.
(3) An LTSS provider does not have an administrative hearing right for the denial of payment of a claim.
(4) HCA does not recoup overpayments until an order is final.
(5) Throughout the administrative hearings process, the LTSS provider bears the burden of proving by a preponderance of the evidence that it has complied with applicable laws, rules, regulations, and agreements.