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Washington Administrative Code (WAC)

Chapter 526

Wash. Admin. Code ch. 182-526

Administrative Hearing Rules for Medical Services Programs

HEALTH CARE AUTHORITY

182-526-0005Purpose and scope 182-526-0010Definitions 182-526-0015Terms in the Administrative Procedure Act compared to this chapter 182-526-0020Good cause 182-526-0025Use and location of the office of administrative hearings 182-526-0030Contacting the board of appeals 182-526-0035Calculating when a hearing deadline ends 182-526-0040Service of documents on another party 182-526-0070Filing documents 182-526-0080Resolving a dispute with the health care authority 182-526-0085Determining if a hearing right exists 182-526-0095Requesting a hearing 182-526-0100Expedited administrative hearings for urgent health care needs 182-526-0102Coordinated appeals process with the Washington health benefits exchange 182-526-0110Process after a hearing is requested 182-526-0115Withdrawing a request for hearing 182-526-0120Interpreter services for hearings 182-526-0130Limited-English-proficient parties—Notice requirements 182-526-0135Interpreters 182-526-0140Waiving interpreter services 182-526-0145Interpreter requirements 182-526-0150Hearing decisions involving limited-English-proficient parties 182-526-0155Appellant's representation in the hearing 182-526-0156Legal assistance in the hearing process 182-526-0175Prehearing meetings 182-526-0185Settlement agreements 182-526-0195Prehearing conferences 182-526-0200Enrollee appeals of a managed care organization action 182-526-0203Administrative reviews requested by a reporting entity to the prescription drug pricing transparency program 182-526-0205Appeals requested by a data supplier to the Washington all payer health care claims database (WA-APCD)182-526-0206Hearing and final order for penalties imposed under WAC 182-70-600 182-526-0210Appeals requested by intermediate care facilities for individuals with intellectual disabilities (ICF/IID)182-526-0215Authority of the administrative law judge when conducting a hearing 182-526-0216The authority of the administrative law judge and the review judge is limited 182-526-0218The authority of a review judge when conducting a hearing as a presiding officer 182-526-0220Rules and laws an administrative law judge and review judge must apply when conducting a hearing and making a decision 182-526-0221HCA index of significant decisions 182-526-0230Assigning an administrative law judge to a hearing 182-526-0240Filing a motion of prejudice 182-526-0245Disqualifying an administrative law judge or review judge 182-526-0250Time requirements for notices issued by the office of administrative hearings 182-526-0255Notice of hearing or notice of prehearing conference 182-526-0260Amending the health care authority or managed care organization notice 182-526-0265Amending hearing requests 182-526-0270Mailing address changes 182-526-0280Continuing a hearing when an appellant is an applicant or recipient 182-526-0282Continuance requests in provider hearing, estate recovery hearing, or nursing home rate hearing under WAC 388-96-904 182-526-0284Orders of default 182-526-0285Orders of dismissal 182-526-0290Reinstating a hearing after an order of default or an order of dismissal 182-526-0300Order of dismissal based on subject matter 182-526-0310Requesting a stay of the health care authority action 182-526-0320Subpoenas 182-526-0340Hearing location 182-526-0345Administrative law judge present at the hearing 182-526-0350Recording the hearing 182-526-0355People who may attend the hearing 182-526-0360Changing how a hearing is held or how a witness appears at a hearing 182-526-0370Submitting documents for a telephonic hearing 182-526-0375Summary of the hearing process 182-526-0380Group hearing requests 182-526-0387Requesting that a hearing be consolidated or severed when multiple agencies are parties to the proceeding 182-526-0390Evidence 182-526-0405Stipulations 182-526-0415Exhibits 182-526-0440Judicial notice 182-526-0450Witness 182-526-0480Burden of proof 182-526-0485Standard of proof 182-526-0495Equitable estoppel 182-526-0500Hearing record 182-526-0512Contents of the hearing record 182-526-0520Information which must be included in the ALJ's initial order 182-526-0525When initial orders become final 182-526-0530How to correct or appeal an initial order 182-526-0540Correction of clerical errors in an initial order 182-526-0545How a party requests a corrected initial order 182-526-0550Deadline for a party to request a corrected initial order 182-526-0555Process after a party requests a corrected initial order 182-526-0560Review of an initial order by a review judge 182-526-0565Evidence a review judge considers in reviewing an initial order 182-526-0570Request for review of an initial order 182-526-0575How to request review of an initial order 182-526-0580Deadline for requesting review of an initial order by a review judge 182-526-0590Response to a request for review 182-526-0595Process after review response deadline 182-526-0600Authority of the review judge 182-526-0605Reconsideration of a final order entered by a review judge 182-526-0620Deadline for requesting reconsideration 182-526-0630Responding to a reconsideration request 182-526-0635Process after a party requests reconsideration 182-526-0640Judicial review of a final order 182-526-0645Deadline for petition for judicial review and filing requirements 182-526-0647Exhaustion of administrative remedies required 182-526-0650Service of petition for judicial review