Billing Instructions. Enter name and mailing address of nominating Agency Finance Office for billing purposes.
Billing Instructions. 1. Invoices shall be submitted electronically in one (1) continuous electronic copy in PDF to xxxxxx@xxx.xxx. The VRE Project Manager shall be copied on the email.
Billing Instructions. 4.1 Grantee shall bill System Agency monthly for allowable services provided to Title V eligible Clients per the Policy Manual.
Billing Instructions. A. Grantee will submit all invoices to System Agency through CMBHS monthly.
Billing Instructions. A. Grantee shall request payment using the State of Texas Purchase Voucher (Form B-13) and acceptable supporting documentation for reimbursement of the required services/deliverables. Vouchers and supporting documentation should be mailed or submitted by fax or electronic mail to the addresses/number below. Department of State Health Services Claims Processing Unit, MC1940 0000 Xxxx 00xx Xxxxxx PO Box 149347 Austin, TX 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xxx xxxxxxxxxxx@xxxx.xxxxx.xxx
Billing Instructions. 4.1 Grantee shall bill System Agency on a monthly basis for allowable services provided to Title V eligible clients. Bills for all allowable services shall be submitted as aggregate activity reports with a System Agency Monthly Reimbursement Request and shall not refer to or identify individual clients. Grantee shall bill within thirty (30) days after the end of the month in which services were provided or within sixty (60) days in cases of potentially Medicaid eligible individuals who are denied eligibility by the Health and Human Services Commission. All bills shall be submitted within forty-five (45) days of the end of the Contract term.
Billing Instructions. 1. DSHS will make payments for services it receives under this Contract to the Contractor from its current revenues.
Billing Instructions. Grantee shall submit requests for reimbursement for services provided with Program funds on a Form 4116 monthly within 30 days following the end of the month covered by the bill. Grantee shall submit a reimbursement request as a final close-out bill not later than 45 days following the end of the applicable Grantee term(s) for costs encumbered on or before the last day of the Contract term. Reimbursement requests received in HHSC offices more than 45 days following the end of the applicable Contract period will not be paid. Grantee shall submit a Form 4116 to the OPSH Analysis and Decision Support Team and the Program using the email addresses on the Form 4116 instructions. Grantee shall submit Form 4116 each month for actual program expenditures, even if there are Exhibit C, Epilepsy Contract HHS0007015 RFA Epilepsy Grant Program zero expenditures or if the contract budget limit has been reached. Grantee shall accept reimbursement or payment from HHSC and any applicable fees from clients for clinical services as payment in full for services or goods provided to clients. Grantee shall not seek additional reimbursement or payment for services or goods from clients other than applicable fees for clinical health services. HHSC shall distribute funds to maximize the delivery of authorized services to eligible clients. HHSC will monitor Xxxxxxx’s billing activity. Grantee may be subject to Contract amount decreases if Grantee’s billing activity is less than projected. Funds made available in the Contract year shall be used only for services performed during the same Contract year. Funds that are not expended for services during that Contract year cannot be used for services in any other period.
Billing Instructions. The Contractor will provide an invoice on the Contractor’s letterhead for services rendered. Each invoice will have a number and will include the following information:
Billing Instructions. A. Performing Agency shall submit monthly invoices in a secure, non-alterable electronic format (.pdf is acceptable) emailed directly to: hhsc xx@xxxx.xxxxx.xx.xx with a copy to the Contract Manager.
