DSHS Form 18-398A Vendor / Provider Overpayment Notice - Washington (Ukrainian)

DSHS Form 18-398A Vendor / Provider Overpayment Notice - Washington (Ukrainian)

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 Ukrainian. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the DSHS Form 18-398A?A: The DSHS Form 18-398A is a Vendor/Provider Overpayment Notice specific to Washington.

Q: Who is this form for?A: This form is for vendors/providers who have received an overpayment notice from the Washington Department of Social and Health Services (DSHS).

Q: What is the purpose of this form?A: The purpose of this form is to notify vendors/providers of an overpayment and outline the process for repayment.

Q: What should I do if I receive this form?A: If you receive this form, you should review the overpayment amount and contact DSHS to discuss repayment options.

Q: Can I appeal the overpayment?A: Yes, you have the right to appeal the overpayment by submitting a written request for reconsideration to DSHS within 30 days of receiving the notice.

Q: What happens if I don't repay the overpayment?A: Failure to repay the overpayment may result in recovery actions, such as offsetting future payments or referring the debt to a collection agency.

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Form Details:

  • Released on May 1, 2023;
  • 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.

Download DSHS Form 18-398A Vendor / Provider Overpayment Notice - Washington (Ukrainian)

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  • DSHS Form 18-398A Vendor / Provider Overpayment Notice - Washington (Ukrainian), Page 1
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