The caregiver claims manager must:

1. (1) Review caregiver reimbursement program claims and determine the reimbursable costs for:

   1. (a) Damaged or destroyed items in the following order by determining if the items:

      1. (i) Can be cleaned or repaired; or
      2. (ii) Cannot be cleaned or repaired. If the items cannot be cleaned or repaired, the department will determine the comparable replacement cost using estimates based on the same attributes as the items that were damaged or destroyed;

   2. (b) Emergency medical expenses related to the occurrence for the caregivers and their household members, including:

      1. (i) Medical;
      2. (ii) Dental; and
      3. (iii) Vision;
   3. (c) Emergency veterinary expenses for animals owned by the caregivers; and
   4. (d) Animal loss;

2. (2) Provide the final decision in writing that includes:

   1. (a) The department's decision on whether the caregivers' claims are eligible for reimbursement; and
   2. (b) The amount that will be paid by the department for eligible items;
3. (3) Reimburse caregivers for the approved claim items within program limits and available funds; and
4. (4) Maintain oversight of claims and payments.

[Statutory Authority: RCW 74.13.031 and 74.13.335. WSR 26-09-128, s 110-50-1050, filed 4/21/26, effective 5/22/26. WSR 18-14-078, recodified as § 110-50-1050, filed 6/29/18, effective 7/1/18. Statutory Authority: RCW 74.13.031. WSR 01-08-047, § 388-25-0365, filed 3/30/01, effective 4/30/01.]