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

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 Form 18-398A?
A: Form 18-398A is a Vendor/Provider Overpayment Notice used in the state of Washington.

Q: Who uses Form 18-398A?
A: The form is used by vendors or providers who have received overpayment in Washington.

Q: What is the purpose of Form 18-398A?
A: The form is used to notify vendors/providers of an overpayment and request for them to refund the excess amount.

Q: How do I obtain Form 18-398A?
A: You can obtain Form 18-398A from the Washington State Department of Social and Health Services (DSHS).

Q: What information is required on Form 18-398A?
A: The form requires the vendor/provider's name, address, DSHS vendor/provider number, and the details of the overpayment.

Q: What should I do if I receive Form 18-398A?
A: If you receive Form 18-398A, you should review the details of the overpayment, confirm the accuracy, and arrange for reimbursement of the overpaid amount.

Q: What happens if I don't respond to Form 18-398A?
A: If you don't respond to Form 18-398A or fail to arrange for reimbursement, further actions may be taken by the Washington State DSHS.

Q: Can I dispute the overpayment mentioned in Form 18-398A?
A: Yes, you can dispute the overpayment by contacting the Washington State DSHS and providing supporting documentation or evidence.

Q: How long do I have to respond to Form 18-398A?
A: The form typically provides a specified duration for vendors/providers to respond and arrange for reimbursement.

Q: Can I request an extension to respond?
A: Yes, you can request an extension by contacting the Washington State DSHS and stating the reason for the extension request.

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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 (Lao)

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