(1) The health care authority (HCA) tracks and ensures that payments for LTSS services do not exceed an eligible beneficiary's total available program benefit units.
(2) HCA pays a claim for approved services that have been preauthorized by the eligible beneficiary, when the LTSS provider:
(a) Meets the applicable requirements in chapter 388-116 WAC;
(b) Submits the claim through HCA's payment system; and
(c) Submits the original claim and any subsequent claims adjustments:
(i) No more than 60 days after the latest end-date of the preauthorization; and
(ii) After the service has been provided.
[Statutory Authority: RCW 50B.04.020 (2)(e), 41.05.021, and 41.05.160. WSR 26-07-035, s 182-600-0300, filed 3/11/26, effective 4/11/26.]