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.