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Working Connections Child Care (WCCC) Manual
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Payment Adjustments

NOTICE:   ITEMS SHADED IN BLUE ARE A RESULT OF THE COLLECTIVE BARGAINING AGREEMENT (CBA) WITH STATE AND THE UNION REPRESENTING THE FAMILY HOME AND IN-HOME/RELATIVE PROVIDERS EFFECTIVE 7/1/07.

C. Time Frames for Requesting Payment Adjustments
Revised:  July 1, 2007

As of July 1, 2007 there are different time frames for how far back a payment adjustment can be approved. The time frames are based on when the request for the underpayment was made. If the request was made before July 1, 2007, apply the time frame for Center providers (first bullet) to all providers. If the request was made after July 1, 2007, apply the time frames as listed below.

  • Center providers: See WAC 388-05-0010 for information on how far back a Center provider may request payment.

  • Family Home providers must submit a claim for payment no later than 12 months after the date of service. If the claim for payment is made within the 12 month period, the time limits for correcting payment errors are:

    • Two-years back if the error is on rates paid by age and or region, unless discovered by a federal audit.

    • Three-years back if the error was for any other reason, including those discovered by a federal audit.

  • In-Home/Relative providers must submit a claim for payment no later than 12 months after the date of service. If the claim for payment is made within the 12 month period, the time limit for correcting payment errors is three-years back if the error was for any reason, including those discovered by a federal audit.

TYPE OF UNDERPAYMENT REQ. ORIGINAL PMT WITHIN 12 MONTHS REASON ELIGIBLE FOR UNDERPAYMENT TIME-FRAME GOING BACK…
ONE-YEAR TWO-YEARS THREE-YEARS NOT ELIGIBLE
Center Yes Billed incorrect units by mistake X      
Center Yes Provider went to training and discovered they billed absent days wrong X      
Center No Any reason       X
Family Home Yes Provider authorized at incorrect rate based on age/region   X    
Family Home Yes Billed incorrect units by mistake     X  
Family Home Yes Provider went to training and discovered they billed absent days wrong     X  
Family Home No Any reason       X
In-Home/Relative Yes Billed incorrect units by mistake     X  
In-Home/Relative Yes Provider authorized at incorrect rate     X  
In-Home/Relative No Any reason       X
 

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