Chapter 182-526. Administrative hearing rules for medical services programs.  


Section 182-526-0005. Purpose and scope.
Section 182-526-0010. Definitions.
Section 182-526-0015. Terms in the Administrative Procedure Act compared to this chapter.
Section 182-526-0020. Good cause.
Section 182-526-0025. Use and location of the office of administrative hearings.
Section 182-526-0030. Contacting the board of appeals.
Section 182-526-0035. Calculating when a hearing deadline ends.
Section 182-526-0040. Sending documents to another party, the office of administrative hearings, or to the board of appeals.
Section 182-526-0045. Serving documents.
Section 182-526-0070. Filing documents.
Section 182-526-0080. Resolving a dispute with the health care authority.
Section 182-526-0085. Determining if a hearing right exists.
Section 182-526-0090. Authority to request a hearing.
Section 182-526-0095. How to request a hearing.
Section 182-526-0102. Coordinated appeals process with the Washington health benefits exchange.
Section 182-526-0105. Required information for requesting a hearing.
Section 182-526-0110. Process after a hearing is requested.
Section 182-526-0112. Rescheduling a hearing.
Section 182-526-0115. Withdrawing the request for hearing.
Section 182-526-0120. Interpreter services for hearings.
Section 182-526-0130. Limited-English-proficient parties—Notice requirements.
Section 182-526-0135. Interpreters.
Section 182-526-0140. Waiving interpreter services.
Section 182-526-0145. Interpreter requirements.
Section 182-526-0150. Hearing decisions involving limited-English-proficient parties.
Section 182-526-0155. Appellant's representation in the hearing.
Section 182-526-0156. Legal assistance in the hearing process.
Section 182-526-0157. Requirements to appear and represent a party in the administrative hearing process.
Section 182-526-0170. Representation of the health care authority in the hearing process.
Section 182-526-0175. Prehearing meetings.
Section 182-526-0185. Settlement agreements.
Section 182-526-0195. Prehearing conferences.
Section 182-526-0200. Enrollee appeals of a managed care organization action.
Section 182-526-0215. Authority of the administrative law judge when conducting a hearing.
Section 182-526-0216. The authority of the administrative law judge and the review judge is limited.
Section 182-526-0218. The authority of a review judge when conducting a hearing as a presiding officer.
Section 182-526-0220. Rules and laws an administrative law judge and review judge must apply when conducting a hearing and making a decision.
Section 182-526-0221. Using the index of significant decisions.
Section 182-526-0230. Assigning an administrative law judge to a hearing.
Section 182-526-0235. Requesting a different judge.
Section 182-526-0240. Filing a motion of prejudice.
Section 182-526-0245. Disqualifying an administrative law judge or review judge.
Section 182-526-0250. Time requirements for notices issued by the office of administrative hearings.
Section 182-526-0255. Notice of hearing.
Section 182-526-0260. Amending the health care authority or managed care organization notice.
Section 182-526-0265. Amending hearing requests.
Section 182-526-0270. Mailing address changes.
Section 182-526-0280. Requesting a continuance.
Section 182-526-0285. Orders of dismissal.
Section 182-526-0290. Reinstating a hearing after an order of dismissal.
Section 182-526-0310. Requesting a stay of the health care authority action.
Section 182-526-0315. Requiring witnesses to testify or provide documents.
Section 182-526-0320. Subpoenas.
Section 182-526-0340. Hearing location.
Section 182-526-0345. Administrative law judge present at the hearing.
Section 182-526-0350. Recording the hearing.
Section 182-526-0355. Persons who may attend the hearing.
Section 182-526-0360. Changing how a hearing is held or how a witness appears at a hearing.
Section 182-526-0370. Submitting documents for a telephonic hearing.
Section 182-526-0375. Summary of the hearing process.
Section 182-526-0380. Group hearing requests and withdrawals.
Section 182-526-0387. Requesting that a hearing be consolidated or severed when multiple agencies are parties to the proceeding.
Section 182-526-0390. Evidence.
Section 182-526-0405. Stipulations.
Section 182-526-0415. Exhibits.
Section 182-526-0440. Judicial notice.
Section 182-526-0450. Witness.
Section 182-526-0480. Burden of proof.
Section 182-526-0485. Standard of proof.
Section 182-526-0495. Equitable estoppel.
Section 182-526-0500. Hearing record.
Section 182-526-0512. Contents of the hearing record.
Section 182-526-0520. Information which must be included in the ALJ's initial order.
Section 182-526-0525. When initial orders become final.
Section 182-526-0530. How to correct or appeal an initial order.
Section 182-526-0540. How clerical errors are corrected in the initial orders.
Section 182-526-0545. How a party requests a corrected initial order.
Section 182-526-0550. Deadline for a party to request a corrected initial order.
Section 182-526-0555. Process after a party requests a corrected initial order.
Section 182-526-0560. Review of an initial order by a review judge.
Section 182-526-0565. Evidence a review judge considers in reviewing an initial order.
Section 182-526-0570. Request for review of an initial order.
Section 182-526-0575. How to request review of an initial order.
Section 182-526-0580. Deadline for requesting review of an initial order by a review judge.
Section 182-526-0590. Response to a request for review.
Section 182-526-0595. Process after review response deadline.
Section 182-526-0600. Authority of the review judge.
Section 182-526-0605. Reconsideration of a final order entered by a review judge.
Section 182-526-0620. Deadline for requesting reconsideration.
Section 182-526-0630. Responding to a reconsideration request.
Section 182-526-0635. Process after a party requests reconsideration.
Section 182-526-0640. Judicial review of a final order.
Section 182-526-0645. Deadline for petition for judicial review and filing requirements.
Section 182-526-0647. Exhaustion of administrative remedies required.
Section 182-526-0650. Service of petition for judicial review.