- (1) After receiving a provider's request, DSHS must schedule a conference between the provider and appropriate department representatives.
- (2) Unless both parties agree, in writing, to a specific later date, the conference must be scheduled at least fourteen days after DSHS notifies the provider that a conference will be held and no later than ninety days after DSHS receives the provider's review request.
- (3) The conference may be conducted by telephone unless DSHS or the provider requests, in writing, that it be held in person.
- (4) The provider and DSHS representatives must participate in the conference.
(5) Either at the conference or before, the provider must give DSHS any documentation:
- (a) Requested by DSHS that the provider is required to maintain for audit purposes under WAC 388-835-0270; and
- (b) The provider intends to use to support their position.
- (6) At the conference DSHS and the provider must clarify the issues and attempt to resolve them.
- (7) If additional documentation is necessary to resolve the issues, a second conference meeting must be scheduled. Unless both parties agree, in writing, to a specific later date, this second conference meeting must be scheduled not later than thirty days after the first session.
- (8) Regardless of whether an agreement is reached, DSHS must give the provider a written decision within sixty days after the conference ends.
[Statutory Authority: RCW 71A.20.140. WSR 01-10-013, § 388-835-0905, filed 4/20/01, effective 5/21/01.]