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.
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.
Form Details:
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.