MTE vs. DSHS Class Action Lawsuit Information

If you were a child under age 18 who received Medicaid personal care services between July 1, 2005 and November 30, 2011, or an individual provider for such a child during that period, you may be eligible for payment under a settlement agreement in the case of M.T.E. v. DSHS.

Documents

Cambodian

• Claim Form Instructions
• Final Notice
• Provider Claim Form
• Provider Certification
• Recipient Claims Form
• Recipient Claim Form Certification

Chinese

• Claim Form Instructions
• Final Notice
• Provider Claim Form
• Provider Certification
• Recipient Claims Form
• Recipient Claim Form Certification

Korean

• Claim Form Instructions
• Final Notice
• Provider Claim Form
• Provider Certification
• Recipient Claims Form
• Recipient Claim Form Certification

Laotian

• Claim Form Instructions
• Final Notice
• Provider Claim Form
• Provider Certification
• Recipient Claims Form
• Recipient Claim Form Certification

Russian

• Claim Form Instructions
• Final Notice
• Provider Claim Form
• Provider Certification
• Recipient Claims Form
• Recipient Claim Form Certification

Somali

• Claim Form Instructions
• Final Notice
• Provider Claim Form
• Provider Certification
• Recipient Claims Form
• Recipient Claim Form Certification

Spanish

• Claim Form Instructions
• Final Notice
• Provider Claim Form
• Provider Certification
• Recipient Claims Form
• Recipient Claim Form Certification

Vietnamese

• Claim Form Instructions
• Final Notice
• Provider Claim Form
• Provider Certification
• Recipient Claims Form
• Recipient Claim Form Certification