1. (1) The medicaid agency gives fee-for-service (FFS) clients written notice of an agency action under chapter 182-518 WAC.
2. (2) FFS clients have the right to appeal the agency's adverse action according to chapter 182-526 WAC.
3. (3) Refer to WAC 182-538-110 for information about the grievance and appeal system and the right to an agency administrative hearing for clients enrolled in one of the agency's managed care organizations.
4. (4) Any appeals, independent rereview, or agency administrative hearing process related to a request to authorize or pay for a service will terminate when the available funding for the reentry demonstration initiative is exhausted since services cannot be authorized or paid for without funding, regardless of medical necessity.

[Statutory Authority: RCW 41.05.021, 41.05.160, and 71.24.715. WSR 25-11-005, s 182-563-700, filed 5/8/25, effective 7/1/25.]