Common use of Invoice Requirements Clause in Contracts

Invoice Requirements. Each invoice submitted be in accordance with be in accordance with TAC Title 34, Part 1, Chapter 20, Subchapter F, Division 1, §20.487, Invoicing Standards, which should include, but is not limited to, as applicable: • Grantee’s Legal Name; • State of Texas vendor number or federal tax identification number; • Xxxxxxx’s Telephone number; • Invoice number; • HHSC Contract Number; • Description of services provided (autism services); • Date of Service; • Quantity of treatment hours; • Contract hourly rate; • Total amount of invoice; • In aggregate: o charges based on the hourly rate and number of treatment hours provided in the current month for children with no third-party payer; o charges for services provided in the current month and for which third party payment was received or declined during the current month; o charges for services provided in previous months but in which payment from third party payers was received or declined during the current month; o amounts received from third party payers during the month; o cost share amount collected or owed for the current month based on the fee schedule and instructions and the Grantee’s policy for collecting cost share; and o deductions for advance payments; and • The name and telephone number of a person designated by the Contract to answer questions regarding the invoice.

Invoice Requirements. Each invoice submitted be in accordance with be in accordance with TAC Title 34, Part 1, Chapter 20, Subchapter F, Division 1, §20.487, Invoicing Standards, which should include, but is not limited to, as applicable: • Grantee’s Legal Name; • State of Texas vendor number or federal tax identification number; • XxxxxxxGrantee’s Telephone number; • Invoice number; • HHSC Contract Number; • Description of services provided (autism services); • Date of Service; • Quantity of treatment hours; • Contract hourly rate; • Total amount of invoice; • In aggregate: o charges based on the hourly rate and number of treatment hours provided in the current month for children with no third-party payer; o charges for services provided in the current month and for which third party payment was received or declined during the current month; o charges for services provided in previous months but in which payment from third party payers was received or declined during the current month; o amounts received from third party payers during the month; o cost share amount collected or owed for the current month based on the fee schedule and instructions and the Grantee’s policy for collecting cost share; and o deductions for advance payments; and • The name and telephone number of a person designated by the Contract to answer questions regarding the invoice.