WAC 110-15-0271. Payment discrepancies — Consumer

(1) DCYF establishes overpayments for past or current consumers when the consumer: (a) Received benefits in an amount greater than the consumer was eligible to receive; (b) Received benefits or services based on the eligibility criteria of the consumer's participation in an approved activity, but the consumer did not participate in the activity; (c) Failed to report information accurately under the requirements of this chapter, which resulted in an error in determining eligibility, amount of care authorized, or copayment; (d) Received benefits for a child who was not eligible under WAC 110-15-0005 , 110-15-0015 , or 110-15-0020 ; or (e) Failed to return, by the sixtieth day, the requested income verification of new employment as provided in WAC 110-15-0012 . (2) DCYF or DSHS may request documentation from a consumer when preparing to establish an overpayment. The consumer has 14 consecutive calendar days to provide any requested documentation. (3) Consumers may be required to repay any overpayments they received, including overpayments resulting from DCYF or DSHS error and benefits paid by DSHS or DCYF they were not eligible to receive. (4) If a consumer is not eligible under WAC 110-15-0030 through 110-15-0032 and the provider has billed correctly, the consumer is responsible for the entire overpayment.