If you were a child under age 18 who received Medicaid personal care services between July 1, 2005 and November 30, 2011, or an individual provider for such a child during that period, you may be eligible for payment under a settlement agreement in the case of M.T.E. v. DSHS.
Documents
View the settlement agreement
Cambodian
- Claim Form Instructions
- Final Notice
- Provider Claim Form
- Provider Certification
- Recipient Claims Form
- Recipient Claim Form Certification
Chinese
- Claim Form Instructions
- Final Notice
- Provider Claim Form
- Provider Certification
- Recipient Claims Form
- Recipient Claim Form Certification
Korean
- Claim Form Instructions
- Final Notice
- Provider Claim Form
- Provider Certification
- Recipient Claims Form
- Recipient Claim Form Certification
Laotian
- Claim Form Instructions
- Final Notice
- Provider Claim Form
- Provider Certification
- Recipient Claims Form
- Recipient Claim Form Certification
Russian
- Claim Form Instructions
- Final Notice
- Provider Claim Form
- Provider Certification
- Recipient Claims Form
- Recipient Claim Form Certification
Somali
- Claim Form Instructions
- Final Notice
- Provider Claim Form
- Provider Certification
- Recipient Claims Form
- Recipient Claim Form Certification
Spanish
- Claim Form Instructions
- Final Notice
- Provider Claim Form
- Provider Certification
- Recipient Claims Form
- Recipient Claim Form Certification