Washington Administrative Code
Title 246 - Health, Department of
HUMAN IMMUNODEFICIENCY VIRUS (HIV)
Chapter 246-130 - Early intervention program
Section 246-130-080 - What do clients do if they disagree with the department's decision about their eligibility or coverage?

(1)Chapter 246-10 WAC details the adjudication process for matters involving receipt of benefits. The department will provide information on the cause for denied benefits, how a proceeding may be requested, the forms necessary to request a proceeding and information on required time frames.

(2) Applicants and clients may not appeal the department's denial or limitations when the department discontinues or limits an early intervention program service to either funding availability or federal or state law or rule changes. See WAC 246-130-030(3) for more details.

(3) Rate and payment disputes between a provider or benefits manager and the department are handled by contract.

(4) Clients of any other public agency must use that agency's process to resolve eligibility or other disputes regarding that agency.