Common use of SERVICE REPORTING REQUIREMENTS Clause in Contracts

SERVICE REPORTING REQUIREMENTS. On request, the Provider shall supply copies of documents from the State of Illinois reflecting services that have been presented to the State of Illinois for payment, fee for service contracts or grant funding agreements held with any State Department, with all applicable exhibits or attachments, when funded services fall under 59 Illinois Administrative Code, Part 115, Part 119, Part 120, Part 132, Part 140, and 77 Illinois Administrative Code Part 2060 and Part 2090 in order to coordinate benefits and Network service capacity. The Provider shall provide reports in either paper or electronic format acceptable to the Mental Health Board. Mental Health Board billing affidavits shall be accompanied by the submission of data as specified in the approved Mental Health Board Work Plan to substantiate the payment request, as well as all other financial and billing documentation reasonably requested by the Mental Health Board. Failure of Provider to submit the requested information to the Mental Health Board will be considered a breach of this Agreement. All information submitted by the Provider shall comply with the confidentiality requirements of state and federal law.

Appears in 4 contracts

Samples: Fy 2024 Funding Agreement, Fy 2024 Funding Agreement, Fy 2024 Funding Agreement

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SERVICE REPORTING REQUIREMENTS. On request, the Provider shall supply copies of documents from the State of Illinois reflecting services that have been presented to the State of Illinois for payment, fee for service contracts or grant funding agreements held with any State Department, with all applicable exhibits or attachments, when funded services fall under 59 Illinois Administrative Code, Part 115, Part 119, Part 120, Part 132, Part 140, Part 1100, and 77 Illinois Administrative Code Part 2060 and Part 2090 in order to coordinate benefits and Network service capacity. The Provider shall provide reports in either paper or electronic format acceptable to the Mental Health Board. Mental Health Board billing affidavits shall be accompanied by the submission of data as specified in the approved Mental Health Board Work Plan to substantiate the payment request, as well as all other financial and billing documentation reasonably requested by the Mental Health Board. Failure of Provider to submit the requested information to the Mental Health Board will be considered a breach of this Agreement. All information submitted by the Provider shall comply with the confidentiality requirements of state and federal law.. Deleted: 2 Rev – 8/23

Appears in 1 contract

Samples: 2024 Funding Agreement

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