(2) An LTSS provider who disagrees with the health care authority's (HCA) action to recoup inappropriate payments under RCW 50B.04.020 (2)(b) may request an administrative hearing under chapter 182-526 WAC.
(3) An LTSS provider does not have an administrative hearing right for the denial of payment of a claim.
(4) HCA does not recoup overpayments until an order is final.
(5) Throughout the administrative hearings process, the LTSS provider bears the burden of proving by a preponderance of the evidence that it has complied with applicable laws, rules, regulations, and agreements.
[Statutory Authority: RCW 50B.04.020 (2)(e), 41.05.021, and 41.05.160. WSR 26-07-035, s 182-600-0700, filed 3/11/26, effective 4/11/26.]