Washington Administrative Code
Title 182 - Health Care Authority
WASHINGTON APPLE HEALTH
Chapter 182-526 - Administrative hearing rules for medical services programs
Section 182-526-0220 - Rules and laws an administrative law judge and review judge must apply when conducting a hearing and making a decision
Current through Register Vol. 24-18, September 15, 2024
(1) Administrative law judges (ALJs) and review judges must first apply the applicable program rules adopted in the Washington Administrative Code (WAC).
(2) If no program rule applies, the ALJ and review judge must decide the issue according to the best legal authority and reasoning available, including federal and Washington state constitutions, statutes, regulations, and court decisions.
(3) When applying program rules regarding the substantive rights and responsibilities of the parties (such as eligibility for services, benefits, or a license), the ALJ and review judge must apply the program rules in effect on the date of the health care authority (HCA) action, unless otherwise required by other rule or law. If HCA amends its notice of action, the ALJ or review judge must apply the rules in effect on the date the action was taken, unless otherwise required by other rule or law.
(4) When applying procedural rules, the ALJ and review judge must apply the rules that are in effect on the date the procedure is followed.
(5) Program rules determine the amount of time HCA or HCA's authorized agent has to process an application for services, benefits, or a license.
(6) The ALJ and review judge must apply the rules in this chapter beginning on the date each rule is effective.
Statutory Authority: 2011 1st sp.s. c 15§ 53, chapters 74.09, 34.05 RCW, and 10-08 WAC. 13-02-007, §182-526-0220, filed 12/19/12, effective 2/1/13.