CONDITIONS REGARDING PAYMENT Sample Clauses

CONDITIONS REGARDING PAYMENT a. Payment under this Provider Agreement will be made through the Medicaid Management Information System (MMIS) System in accordance with Medicaid Claiming requirements upon receipt of certified billing documents from the PROVIDER, in written or electronic form, documenting delivery of actual authorized services, under the service or treatment plan showing the results of services furnished and the number of units of services allowed and provided during the billing period, or as otherwise specified in the Provider Agreement by the DEPARTMENT. b. The DEPARTMENT, HSD and the Center for Medicare and Medicaid Services (CMS) or any other authorized State and Federal agent for six (6) years from the date of final payment under this Provider Agreement, shall have the right to examine the books, records, documents, papers and other supporting data directly involving transactions related to this Provider Agreement, or which are reasonably necessary to permit adequate evaluation of the pricing or billing data submitted, along with the computations and projections used for the purposes of verifying that the cost of services submitted and billed for in conjunction with the activities of this Provider Agreement are accurate, complete and current. c. Payment for travel expenses, except as specifically noted or authorized, is not allowable and is considered an indirect cost of the administration or performance of this Provider Agreement. d. The DEPARTMENT has the right to review requests for payment from the PROVIDER before and after payment has been received. Payment under this Provider Agreement shall not preclude the right of the DEPARTMENT to recover excessive or illegal payments and payments made for services, including but not limited to, payment for services not delivered or for services not delivered appropriately or in accordance with applicable standards or regulations. e. Payment shall be based on actual services provided and reported in accordance with Article 4 and Article 5, utilizing the applicable DEPARTMENT and/or HSD payment system or as otherwise directed by the DEPARTMENT. f. Payment shall be made only for those services as specified in the Provider Agreement and which are not funded by any other public funding source for the same service provided to the same client at the same time.
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Related to CONDITIONS REGARDING PAYMENT

  • CERTIFICATION REGARDING USE OF CONTRACT FUNDS FOR LOBBYING This provision is applicable to all Federal-aid construction contracts and to all related subcontracts which exceed $100,000 (49 CFR 20). 1. The prospective participant certifies, by signing and submitting this bid or proposal, to the best of his or her knowledge and belief, that: a. No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. b. If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. 2. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by 31 U.S.C. 1352. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. 3. The prospective participant also agrees by submitting its bid or proposal that the participant shall require that the language of this certification be included in all lower tier subcontracts, which exceed $100,000 and that all such recipients shall certify and disclose accordingly. This provision is applicable to all Federal-aid projects funded under the Appalachian Regional Development Act of 1965. 1. During the performance of this contract, the contractor undertaking to do work which is, or reasonably may be, done as on-site work, shall give preference to qualified persons who regularly reside in the labor area as designated by the DOL wherein the contract work is situated, or the subregion, or the Appalachian counties of the State wherein the contract work is situated, except: a. To the extent that qualified persons regularly residing in the area are not available. b. For the reasonable needs of the contractor to employ supervisory or specially experienced personnel necessary to assure an efficient execution of the contract work. c. For the obligation of the contractor to offer employment to present or former employees as the result of a lawful collective bargaining contract, provided that the number of nonresident persons employed under this subparagraph (1c) shall not exceed 20 percent of the total number of employees employed by the contractor on the contract work, except as provided in subparagraph (4) below. 2. The contractor shall place a job order with the State Employment Service indicating (a) the classifications of the laborers, mechanics and other employees required to perform the contract work, (b) the number of employees required in each classification, (c) the date on which the participant estimates such employees will be required, and (d) any other pertinent information required by the State Employment Service to complete the job order form. The job order may be placed with the State Employment Service in writing or by telephone. If during the course of the contract work, the information submitted by the contractor in the original job order is substantially modified, the participant shall promptly notify the State Employment Service. 3. The contractor shall give full consideration to all qualified job applicants referred to him by the State Employment Service. The contractor is not required to grant employment to any job applicants who, in his opinion, are not qualified to perform the classification of work required. 4. If, within one week following the placing of a job order by the contractor with the State Employment Service, the State Employment Service is unable to refer any qualified job applicants to the contractor, or less than the number requested, the State Employment Service will forward a certificate to the contractor indicating the unavailability of applicants. Such certificate shall be made a part of the contractor's permanent project records. Upon receipt of this certificate, the contractor may employ persons who do not normally reside in the labor area to fill positions covered by the certificate, notwithstanding the provisions of subparagraph (1c) above. 5. The provisions of 23 CFR 633.207(e) allow the contracting agency to provide a contractual preference for the use of mineral resource materials native to the Appalachian region. 6. The contractor shall include the provisions of Sections 1 through 4 of this Attachment A in every subcontract for work which is, or reasonably may be, done as on-site work.

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