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PDFWAC 388-835-0265

Can providers file amendments if a DSHS field audit has been scheduled?

(1) A provider may file amendments after receiving a notice of a field audit only when reimbursement rates need to be adjusted because significant errors or omissions were made when they were calculated.
(2) Errors of omissions are considered "significant" if they result in a net difference of two cents or more per resident day or one thousand dollars or more in reported costs, whichever is higher, in any cost area.
(3) Only the pages requiring changes and the certification required by WAC 388-835-0335 must be filed with the amendment.
(4) Any adjustments to reimbursement rates resulting from an amended report will be made according to WAC 388-835-0885.
[Statutory Authority: RCW 71A.16.010, 71A.16.030, 71A.12.030, chapter 71A.20 RCW, RCW 72.01.090, and 72.33.125. WSR 02-16-014, § 388-835-0265, filed 7/25/02, effective 8/25/02. Statutory Authority: RCW 71A.20.140. WSR 01-10-013, § 388-835-0265, filed 4/20/01, effective 5/21/01.]
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