DSHS Form 06-124 Cost of Care Adjustment (Coca) - Washington

What Is DSHS Form 06-124?

This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is DSHS Form 06-124?
A: DSHS Form 06-124 is the Cost of Care Adjustment (COCA) form used in Washington.

Q: What is the purpose of DSHS Form 06-124?
A: The purpose of DSHS Form 06-124 is to request a cost of care adjustment for individuals receiving services from the Washington State Department of Social and Health Services (DSHS).

Q: Who can use DSHS Form 06-124?
A: Any individual receiving services from DSHS in Washington can use DSHS Form 06-124 to request a cost of care adjustment.

Q: What is a cost of care adjustment?
A: A cost of care adjustment is a change in the amount that an individual is required to pay for services based on their income and expenses.

Q: Are there any eligibility requirements for a cost of care adjustment?
A: Yes, there are eligibility requirements for a cost of care adjustment, including income and resource limits set by DSHS.

Q: How long does it take to process a DSHS Form 06-124?
A: The processing time for a DSHS Form 06-124 can vary, but it typically takes about 45 days for DSHS to review and make a decision on the request.

Q: Can I appeal a decision made on my DSHS Form 06-124?
A: Yes, if you disagree with the decision made on your DSHS Form 06-124, you have the right to appeal the decision.

Q: Who should I contact if I have questions about DSHS Form 06-124?
A: If you have questions about DSHS Form 06-124, you should contact the Washington State Department of Social and Health Services or your local DSHS office.