Section 182-502A-0901 - Administrative hearing (formal appeal) right(1) An entity has a right to an administrative hearing (formal appeal), and any resulting appeals process under RCW 41.05A.170 and chapter 182-526 WAC, if the agency assesses an overpayment against the entity.(2) An entity does not have an administrative hearing right for the denial of payment of a claim.(3) At the administrative hearing and on appeal, the entity bears the burden of proving by a preponderance of the evidence that it has complied with applicable laws, rules, regulations, and agreements.(4) The administrative hearing process is governed by chapter 34.05 RCW and chapter 182-526 WAC.(5) The medicaid agency does not recoup overpayments until a decision in the administrative hearing is issued and all appeals, if any, have been exhausted.(6) Interest on overpayments continues to accrue, but it is not collected until a decision in the administrative hearing is issued and all appeals, if any, have been exhausted. See RCW 74.09.220.Wash. Admin. Code § 182-502A-0901
Adopted by WSR 15-01-129, Filed 12/19/2014, effective 1/19/2015Amended by WSR 18-07-050, Filed 3/14/2018, effective 4/14/2018Amended by WSR 20-02-100, Filed 12/31/2019, effective 1/31/2020