Authorized representatives
Revised date
Purpose statement
To explain what an authorized representative (AREP) is, how to designate someone as AREP, and what information the agency may disclose to AREPs.
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WAC 182-503-0130 Authorized representative.
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WAC 182-503-0130 Authorized representative.
Effective August 17, 2015
- ​Designating an authorized representative (AREP).
- A person may designate an AREP to act on his or her behalf in eligibility-related interactions with the medicaid agency by completing the agency's Authorized Representative Designation Form (DSHS 14-532), or through any of the methods described in 42 C.F.R. 435.907(a) and 42 C.F.R. 435.923. The Authorized Representative Designation Form is available online at https://www.dshs.wa.gov/fsa/forms.
- A court-appointed legal guardian with authority to make financial decisions on a person's behalf is that person's AREP.
- An agreement creating power of attorney (POA) that grants decision-making authority regarding the person's financial interactions with the agency establishes the POA as the AREP.
- If a person is unable to designate an AREP due to a medical condition, an individual may designate himself or herself as the AREP by signing the agency's Authorized Representative Designation Form (DSHS 14-532).
- Serving as an AREP. To serve as an AREP, an individual or organization must:
- Have a good-faith belief that the information he or she provides to the agency is correct.
- Report any change in circumstance required under WAC 182-504-0105 unless doing so would exceed the scope of authorized representation or violate state or federal law.
- A provider, staff member, or volunteer of an organization must also comply with 42 C.F.R. 435.923(d-e).
- Terminating authorized representation.
- The person or the AREP may terminate the authorized representation at any time for any reason by notifying the agency verbally or in writing.
- Authorized representation terminates automatically when the person dies.
This is a reprint of the official rule as published by the Office of the Code Reviser. If there are previous versions of this rule, they can be found using the Legislative Search page.
- ​Designating an authorized representative (AREP).
Worker Responsibilities
For information regarding AREP Screens for Long-Term Care cases.
- Depending on what an Apple Health recipient chooses, an AREP may:
- Receive letters/notices/forms/ProviderOne cards; or
- Have permission only to discuss the case; or
- Both.
- For Classic Medicaid:
- The worker records on the AREP screen in ACES the representative's name and address and the REP Type code, which determines what forms, letters, etc. they receive.
- If the individual is completing their review over the phone and they are designating a new AREP, the individual should complete a DSHS 14-532 AREP form. The worker should not add the new AREP until they receive the completed DSHS 14-532 AREP form or written confirmation from the individual. Completing the DSHS 14-532 AREP form is not required if the individual is confirming or making changes to their current AREP.
- For MAGI-based Medicaid, the applicant or worker clicks the box in Washington Healthplanfinder to choose whether the AREP will receive letters/notices/form/ProviderOne cards. This information is then transferred to ACES.
- Initial designation of an AREP by an individual should be made on the application, review or DSHS 14-532 AREP form. Changes to an existing AREP can be made verbally but must be well documented in the remarks behind the AREP screen in ACES.