What if DSHS conducts an audit during the final settlement process?
(1) If DSHS conducts an audit, it must issue a final settlement report to the provider after the audit process is completed. Completing the audit process includes exhausting or mutual terminating the reviews and/or appeals of audit findings or determinations.
(2) If a provider, in good faith, is disputing audit findings or determinations through the administrative review or judicial appeal process, DSHS may issue a partial final settlement report to recover overpayments based on audit findings or determinations not being disputed.
[Statutory Authority: RCW
71A.20.140. WSR 01-10-013, ยง 388-835-0760, filed 4/20/01, effective 5/21/01.]