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This version of the form is not currently in use and is provided for reference only. Download this version of
DSHS Form 18-398A
for the current year.
DSHS Form 18-398A Vendor / Provider Overpayment Notice - Washington (Lao)
This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington.
The document is provided in Lao. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is DSHS Form 18-398A?A: DSHS Form 18-398A is a vendor/provider overpayment notice form used in Washington state.
Q: Who is the form intended for?A: The form is intended for vendors and providers in Washington state.
Q: What is the purpose of the form?A: The purpose of the form is to notify vendors and providers about overpayments.
Q: What should one do upon receiving the form?A: Upon receiving the form, vendors/providers should review the overpayment details and take appropriate actions.
Q: What actions can be taken in response to the form?A: Vendors/providers can dispute the overpayment, request a repayment plan, or make a full payment.
Q: Is there a deadline for responding to the form?A: Yes, vendors/providers must respond within 20 calendar days from the date of the notice.
Q: Who should one contact for more information about the form?A: For more information, vendors/providers can contact the phone number provided on the form.
Form Details:
- Released on March 1, 2020;
- The latest edition provided by the Washington State Department of Social and Health Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
Download a printable version of DSHS Form 18-398A by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.
