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.