Effective May 28, 2004
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WAC 170-290-0260 Do I have
the right to ask for a hearing about my WCCC benefits and how do I
ask for one?
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WCCC consumers have a right to request
a hearing under chapter 388-02 WAC on any action affecting WCCC
benefits except for mass changes resulting from a change in
policy or law.
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Child care providers can request
hearings under chapter 388-02 WAC and RCW 43,20B.675 only for WCCC overpayments.
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To request a hearing the consumer or
provider:
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Contacts the office which sent them
the notice; or
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Writes to the Office of
Administrative Hearings, PO Box 42489,
Olympia WA 98504-2488; and
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Makes the request for a hearing within:
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Ninety days of the date a decision
is received for consumers; or
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Twenty-eight days of the date a
decision is received for providers (per RCW 43.20B.675).
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Note: This is a reprint of the official rule as published by the Office of the Code Reviser.
If there are previous versions of this rule, they can be found using the Legislative Search page.
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In a child care hearing, supporting documents may be crucial to
the department's case. You may need to include canceled warrants,
signed invoices, service authorization screen printouts and/or the service
invoice screen printouts. Further details on how to obtain this
information is in the SSPS Manual.
Effective May 28, 2004
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WAC 170-290-0265 When can I
get WCCC benefits pending the outcome of a hearing?
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If you are a WCCC consumer, you can
receive WCCC pending the outcome of a hearing if you request the
hearing:
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On or before the effective date of
an action; or
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No more than ten days after we send you a notice of adverse action.
"Adverse action" means an action to reduce or
terminate your WCCC, or to set up a protective payee to
receive your WCCC warrant for you.
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If you lose a hearing, any WCCC you use
between the date of the adverse action and the date of the
hearing or hearing decision is an overpayment to you, the
consumer.
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If you are a WCCC consumer, you may not
receive WCCC benefits pending the outcome of a hearing if you
request payment to a provider who is not eligible under WAC
170-290-0125.
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If you are eligible for WCCC, you may
receive child care benefits for another eligible provider,
pending the outcome of the hearing.
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Note: This is a reprint of the official rule as published by the Office of the Code Reviser.
If there are previous versions of this rule, they can be found using the Legislative Search page.
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CLARIFICATION
WAC 170-290-0265 does not require DSHS to
continue benefits beyond the current authorization period if the client
is:
- No longer eligible, and
- Has filed for a hearing.
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EXAMPLE 1
Carrie became ineligible for care on 5/15. Care
was terminated correctly before the original eligibility end date,
which was 6/30. Carrie requested a hearing timely. Care can be
extended to the original eligibility end date but not beyond.
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EXAMPLE 2
Shawn submitted a reapplication for services
beginning 7/1. The reapplication was processed and we determined the
client would no longer be eligible as of the original eligibility end
date, 6/30. Shawn filed for a hearing timely. Eligibility is not
extended past the original end date. |
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