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.
Appears in 3 contracts
Samples: Epilepsy Grant Program Contract, Epilepsy Grant Program Contract, Epilepsy Services Grant Program
Billing Instructions. Grantee X. Xxxxxxx shall submit requests for reimbursement for services provided with Program funds of allowable PHC costs on a Purchase Voucher (Form 4116 4116) monthly within 30 days by the last business day of the following the end of the month covered by in which the billcosts were incurred. Grantee shall submit a reimbursement request as a final close-out bill not purchase voucher no later than 45 forty-five (45) days following the end of the applicable Grantee term(s) Contract year for costs encumbered on or before the last day of the Contract termyear. Reimbursement requests received in HHSC System Agency offices more than 45 forty-five (45) calendar days following the end of the applicable Contract period year will not be paid. .
B. Grantee shall submit a email Form 4116 to the OPSH Analysis and Decision Support Team and the Program using the email addresses address provide on the Form 4116 instructions. form.
C. 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 Contractor may be asked to submit additional documentation to verify expenditures.
D. Accept reimbursement or payment from HHSC System Agency 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 .
E. System Agency shall distribute funds to maximize the delivery of authorized services to eligible clients. HHSC System Agency will monitor Xxxxxxx’s 's billing activity. Grantee may be subject to Contract contract amount decreases if Grantee’s Xxxxxxx's billing activity is less than projected. .
F. 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.. ATTACHMENT B - SPECIAL CONDITIONS
Appears in 1 contract
Samples: Primary Health Care Contract
Billing Instructions. Grantee X. Xxxxxxx shall submit requests for reimbursement for services provided with Program funds of allowable PHC costs on a Purchase Voucher (Form 4116 4116) monthly within 30 days by the last business day of the following the end of the month covered by in which the billcosts were incurred. Grantee shall submit a reimbursement request as a final close-out bill not purchase voucher no later than 45 forty-five (45) days following the end of the applicable Grantee term(s) Contract year for costs encumbered on or before the last day of the Contract termyear. Reimbursement requests received in HHSC System Agency offices more than 45 forty-five (45) calendar days following the end of the applicable Contract period year will not be paid. .
B. Grantee shall submit a email Form 4116 to the OPSH Analysis and Decision Support Team and the Program using the email addresses address provide on the Form 4116 instructions. form.
C. 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 Contractor may be asked to submit additional documentation to verify expenditures.
D. Accept reimbursement or payment from HHSC System Agency 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 .
E. System Agency shall distribute funds to maximize the delivery of authorized services to eligible clients. HHSC System Agency will monitor Xxxxxxx’s 's billing activity. Grantee may be subject to Contract contract amount decreases if Grantee’s Xxxxxxx's billing activity is less than projected. .
F. 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.
Appears in 1 contract
Samples: Primary Health Care Contract
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.
Appears in 1 contract
Samples: Epilepsy Grant Program Contract