AGING AND LONG-TERM SUPPORT ADMINISTRATION
Exemptions from Electronic Submissions
According to RCW 43.17.095, any document, form, or payment of a fee that is required to be submitted by a business must be accepted electronically by the agency requiring it. There are certain circumstances in which a document, form, or payment of a fee may be excluded from the requirements of this statute including where it is not technically or fiscally feasible or practical, or in the best interest of businesses for such materials to be submitted electronically. If any document, form, or payment of fee is excluded, the public must be notified of the exclusion.
Below is a list of all excluded documents, forms, and payment of fees from Aging and Disability Services Administration (ADSA) within the Department of Social and Health Services (DSHS). If a document, form, or payment of a fee is submitted by a business to any division within ADSA and is not on this list, the division must accept that submission in an appropriate electronic format. The electronic format available may vary depending on the requirements of the document, form, or payment of fee. For example, a document containing sensitive client information will need to be submitted in compliance with HIPAA whether it is submitted electronically or in paper format.
To read the complete statute, please visit http://apps.leg.wa.gov/rcw/default.aspx?cite=43.17.095.
Documents, Forms, and Payment of Fees Excluded from Electronic Submission
RESIDENTIAL CARE SERVICES
- Adult Family Home License Application
- Adult Family Home Change in Licensed Bed Capacity – Increase
- Initial Boarding Home License Application
- Change of Ownership (CHOW) Full Boarding Home License Application
- CHOW Partial Boarding Home License Application
- CHOW Mini Boarding Home License Application
- Nursing Home Conversion to a Boarding Home License Application
- Boarding Home Change in Bed Capacity or Licensed Room Form
- Initial Nursing Home License Application
- Out-of-state Background Investigation Fingerprint Card
- Background Authorization Forms
- Public Disclosure Fee Letter
- Nursing Home Plan of Correction
- Adult Family Home and Assisted Living Facility Plan of Correction Attestation
- All fees associated with Initial License Application, License Renewal, Fines Arising from Enforcement Actions Against Providers, and Fees and Costs for Public Disclosure
MANAGEMENT SERVICES
- Cost Reports and Supporting Documentation
- Public Disclosure Checks
- Joint Cost Allocation Disclosure
- Nursing Assistant Certification Reimbursement
- Appeals
- Change of Ownership Settlement Securities
