Section 388-114-0050 - What if the service hours the individual provider was paid for in January 2016 does not accurately represent the individual provider's work history in February and March 2016? If the individual provider's service hours paid in January 2016 do not accurately represent the individual provider's work history for the first three months of 2016:
(1) The individual provider may appeal the determination by submitting a request to the client's case manager to review the permanent work week limit calculated under WAC 388-114-0030, but the IP is not entitled to an administrative hearing under chapter 34.05 RCW.(2) The department will review the permanent work week limit if: (a) The individual provider was contracted with the department;(b) The individual provider was employed by a client in January 2016; and(c) The total monthly service hours the individual provider was paid in January 2016 is less than the total monthly service hours the individual provider was paid in either February or March 2016 and the average in those months was above forty hours.(3) The department will not review the permanent work week limit of an individual provider who was not contracted with the department or was not employed by a client in January 2016.(4) The department will evaluate individual provider service hours appeals for review as follows: (a) Calculate the individual provider's average number of weekly service hours paid in January 2016 by dividing the total January service hours paid by 4.33 which is the average number of weeks in a month;(b) Calculate the average number of weekly service hours the individual provider was paid for February and March 2016 as follows: (i) The average weekly service hours for February equals the total monthly service hours divided by 4.33 which is the average number of weeks in a month;(ii) The average weekly service hours for March equals the total monthly service hours divided by 4.33 which is the average number of weeks in a month; and(iii) Add the average weekly service hours for February and March 2016 together and divide the total by two to get the average weekly service hours for February and March; and(c) If the average weekly service hours for January 2016 is less than the average weekly service hours for February and March 2016, the department will use the average weekly service hours for February and March 2016 as the individual provider's permanent work week limit.Wash. Admin. Code § 388-114-0050
Adopted by WSR 17-08-065, Filed 3/31/2017, effective 5/1/2017