WAC 388-835-0885. What disputes between providers and DSHS can be resolved through the administrative review process?

A provider can use the administrative review process to contest: (1) An "errors or omissions" reimbursement rate adjustment issued to the provider (see WAC 388-835-0845 ) or DSHS's refusal to adjust a rate the provider believes is incorrect due to errors or omissions. The provider must request an administrative review within thirty days of receiving notification that a rate has been adjusted or that DSHS refuses to adjust the rate. (2) The way in which a DSHS rule, contract provision, or policy statement was applied when calculating the provider's prospective cost related reimbursement system's rate. (3) An audit finding, other audit determination, a rate review or other settlement determination.