Pol-0268-4 Provider Overpayments Related to Provider Ineligibility

Effective date: 5/22/2019

See also: WAC 110-15-3750, WAC 110-15-0125, WAC 110-15-0034, WAC 110-15-0031, WAC 110-15-0271

Revisions: Policy Manual Revision Log


This policy applies to establishing overpayments as a result of a provider being determined ineligible

  1. Providers will receive an overpayment when payment is issued at any time the provider is determined ineligible as required under 110-15-0268(4).

    Assigning an overpayment to a consumer for accepting care from an ineligible provider is no longer a requirement of WAC 110-15-0030, and 110-15-0271 as of April 26, 2019. This applies to all overpayments written after 4/26/2019.