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Chapter 182-526 WAC

Last Update: 8/13/14

ADMINISTRATIVE HEARING RULES FOR MEDICAL SERVICES PROGRAMS

WAC Sections

Purpose and scope.
Definitions.
Terms in the Administrative Procedure Act compared to this chapter.
Good cause.
Use and location of the office of administrative hearings.
Contacting the board of appeals.
Calculating when a hearing deadline ends.
Sending documents to another party, the office of administrative hearings, or to the board of appeals.
Serving documents.
Filing documents.
Resolving a dispute with the health care authority.
Determining if a hearing right exists.
Authority to request a hearing.
How to request a hearing.
Coordinated appeals process with the Washington health benefits exchange.
Required information for requesting a hearing.
Process after a hearing is requested.
Rescheduling a hearing.
Withdrawing the request for hearing.
Interpreter services for hearings.
Limited-English-proficient parties—Notice requirements.
Interpreters.
Waiving interpreter services.
Interpreter requirements.
Hearing decisions involving limited-English-proficient parties.
Appellant's representation in the hearing.
Legal assistance in the hearing process.
Requirements to appear and represent a party in the administrative hearing process.
Representation of the health care authority in the hearing process.
Prehearing meetings.
Settlement agreements.
Prehearing conferences.
Enrollee appeals of a managed care organization action.
Authority of the administrative law judge when conducting a hearing.
The authority of the administrative law judge and the review judge is limited.
The authority of a review judge when conducting a hearing as a presiding officer.
Rules and laws an administrative law judge and review judge must apply when conducting a hearing and making a decision.
Using the index of significant decisions.
Assigning an administrative law judge to a hearing.
Requesting a different judge.
Filing a motion of prejudice.
Disqualifying an administrative law judge or review judge.
Time requirements for notices issued by the office of administrative hearings.
Notice of hearing.
Amending the health care authority or managed care organization notice.
Amending hearing requests.
Mailing address changes.
Requesting a continuance.
Orders of dismissal.
Reinstating a hearing after an order of dismissal.
Requesting a stay of the health care authority action.
Requiring witnesses to testify or provide documents.
Subpoenas.
Hearing location.
Administrative law judge present at the hearing.
Recording the hearing.
Persons who may attend the hearing.
Changing how a hearing is held or how a witness appears at a hearing.
Submitting documents for a telephonic hearing.
Summary of the hearing process.
Group hearing requests and withdrawals.
Requesting that a hearing be consolidated or severed when multiple agencies are parties to the proceeding.
Evidence.
Stipulations.
Exhibits.
Judicial notice.
Witness.
Burden of proof.
Standard of proof.
Equitable estoppel.
Hearing record.
Contents of the hearing record.
Information which must be included in the ALJ's initial order.
When initial orders become final.
How to correct or appeal an initial order.
How clerical errors are corrected in the initial orders.
How a party requests a corrected initial order.
Deadline for a party to request a corrected initial order.
Process after a party requests a corrected initial order.
Review of an initial order by a review judge.
Evidence a review judge considers in reviewing an initial order.
Request for review of an initial order.
How to request review of an initial order.
Deadline for requesting review of an initial order by a review judge.
Response to a request for review.
Process after review response deadline.
Authority of the review judge.
Reconsideration of a final order entered by a review judge.
Deadline for requesting reconsideration.
Responding to a reconsideration request.
Process after a party requests reconsideration.
Judicial review of a final order.
Deadline for petition for judicial review and filing requirements.
Exhaustion of administrative remedies required.
Service of petition for judicial review.