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PDFWAC 246-130-080

What do clients do if they disagree with the department's decision about their eligibility or coverage?

Applicants and clients may appeal any decision by the department about their early intervention program eligibility or coverage.
(1) Chapter 246-10 WAC details the adjudication process for matters involving receipt of benefits. The department will provide information on the cause for denied benefits, how a proceeding may be requested, the forms necessary to request a proceeding and information on required time frames.
(2) Applicants and clients may not appeal the department's denial or limitations when the department discontinues or limits an early intervention program service to either funding availability or federal or state law or rule changes. See WAC 246-130-030(3) for more details.
(3) Rate and payment disputes between a provider or benefits manager and the department are handled by contract.
(4) Clients of any other public agency must use that agency's process to resolve eligibility or other disputes regarding that agency.
[Statutory Authority: RCW 43.70.670. WSR 05-23-100, § 246-130-080, filed 11/17/05, effective 12/18/05. Statutory Authority: RCW 43.70.040 and 43.70.120. WSR 00-19-117, § 246-130-080, filed 9/20/00, effective 10/21/00.]