WAC 388-101-4250. Administrative review

(1) A service provider may request an administrative review of a certification action within twenty-eight days of receipt of the written notice of the department's certification action. (2) The service provider must make the request in writing and must: (a) Sign the request; (b) Identify the challenged decision and the date it was made; (c) State specifically the issues and regulations involved and the grounds for the disagreement; and (d) Include with the request copies of any supporting documentation for the service provider's position.