Payment Standards. (43 CFR §12.61)
Payment Standards. 2.1 Schedule of Payment: Reimbursement will be in up to three stages of Payments. All reimbursement must be invoiced, and will be paid, on a per-trainee basis. The total payments must be reconciled for all trainees taken as a whole, at the time of Fiscal Closeout. (See Exhibit A: Chart 1)
Payment Standards a. A completed W-9 and current Certificate of Insurance must be received prior to payment.
Payment Standards. If the reporting of the Office of Housing demonstrates that the percent of participant families with a voucher for three or more bedrooms who do not successfully lease up units is significantly higher than the lease up rate for families needing smaller size bedroom units, the Office of Housing shall take steps to increase payment standards amounts based on 50th percentile of Fair Market Rent or higher, and/or request HUD approval of exception payment standards above 120% for families based on bedroom size and to provide an opportunity for families to move to Exhibit F, Table A census tracts. The Office of Housing will also use its ability to provide exception payments for individuals with disabilities to secure their opportunities to lease units with accessible features. EXHIBIT D Voucher: Program Reforms
Payment Standards. Regardless of the payment methodology (i.e., Medicaid FFS or Capitated Payment) Medicaid cannot pay for services that are not medically necessary, as defined in this contract. Medically Necessary Requirements The CONTRACTOR must ensure that the payment and health care coverage Policies for the network Providers include this requirement, and have an approved definition of “Medically Necessary” in the CONTRACTOR’s Provider manuals and handbooks, consistent with Section 4 and Appendix A of this contract. Health Records and Appropriate Documentation Requirements The CONTRACTOR must also require that a Provider’s Health Records or other appropriate documentation for each Member substantiate the need for services, must include all findings and information supporting Medical Necessity and justification for services, and must detail all treatment provided. CONTRACTOR Coding Standards and Billing Requirements The CONTRACTOR shall: Ensure, at a minimum, the CONTRACTOR’s Policies and billing requirements for Providers follow CPT and HCPCS standards and guidelines where applicable. Apply NCCI edits on a prepayment basis, in accordance with the approved State Plan and Department direction. CONTRACTOR Policies and Federal and State Rules Requirements The CONTRACTOR must follow all applicable federal and state rules in setting rates and policy for medical services, and ensure that policy and coverage guidelines include restrictions or prohibitions for specified services that cannot be paid for within the Medicaid Program. These include, but are not limited to: Services that are cosmetic or experimental, Other Non-Covered Services as specified in the Medicaid Managed Care Policy and Procedure Guide. CONTRACTOR Timely Claims Payment Requirements Pursuant to 1932(f) and 1932(h) of the Social Security Act and 42 CFR § 447.45, the CONTRACTOR shall: Pay ninety percent (90%) of all Clean Claims from Providers, including Indian Health Care Providers, within thirty (30) Calendar Days of the date of receipt; and Pay ninety-nine percent (99%) of all Clean Claims from Providers, including Indian Health Care Providers, within ninety (90) Calendar Days of the date of receipt. Establish an alternative payment schedule—a schedule that differs from the one specified above—under a mutual agreement. Ensure that the date of receipt is the date it receives the Claim, as indicated by its date stamp on the Claim; and that the date of payment is the date of the check or other form of payment.
Payment Standards. 1. To receive payment, a Performing Agency must submit an invoice to the Receiving Agency Accounts Payable Mailbox (HHSC XX@xxxx.xxxxx.xx.xx) and copy the MFPD Mailbox (XXX-Xxxxxxx@xxxx.xxxxx.xx.xx).
Payment Standards. Subrecipient must use the Anaheim Housing Authority’s current payment standards are set forth in the Procedural Memorandum attached to the TBRA Program Operating Guidelines as Appendix G. The Anaheim Housing Authority’s payment standards represent the cost of rent and utilities for moderately priced units in Anaheim. Payment standards are established by bedroom size.
Payment Standards. Security Type Income Principal ------------- ------ --------- Equities Payable Date Municipal Bonds* Payable Date Payable Date Corporate Bonds* Payable Date Payable Date Federal Reserve Bank Book Entry* Payable Date Payable Date PTC GNMA (P&I) Payable Date+1 Payable Date+1
Payment Standards. SECURITY TYPE INCOME PRINCIPAL ------------- ------ --------- Equities Payable Date Municipal Bonds* Payable Date Payable Date Corporate Bonds* Payable Date Payable Date Federal Reserve Bank Book Entry* Payable Date Payable Date PTC GNMA's (P&I) Payable Date + 1 Payable Date + 1 CMOs * DTC Payable Date + 1 Payable Date + 1 Bankers Trust Payable Date + 1 Payable Date + 1 SBA Loan Certificates When Received When Received Unit Investment Trust Certificates* Payable Date Payable Date Certificates of Deposit* Payable Date + 1 Payable Date + 1 Limited Partnerships When Received When Received Foreign Securities When Received When Received *Variable Rate Securities Federal Reserve Bank Book Entry Payable Date Payable Date DTC Payable Date + 1 Payable Date + 1 Bankers Trust Payable Date + 1 Payable Date + 1
