Common use of Payments to the Service Provider Clause in Contracts

Payments to the Service Provider. 14.1 The Service Provider must not make claims for payment of Scheduled Fees under this Contract unless the Service Provider complies with this Contract (including the Schedule of Service Items) in making such claims. 14.2 The Service Provider must submit a completed Claim Form to DHS in order to receive payment for Services that the Service Provider has provided to Clients. All Claim Forms must be submitted electronically to DHS unless a Claim Form is lodged in accordance with clause 14.6 or 14.7. 14.3 Where a Client relocates from the Service Provider to another Contracted Service Provider, the Service Provider must submit to DHS all outstanding Claim Forms in relation to that Client within twenty (20) Working Days of receiving a request for the Records in relation to the Client from the other Contracted Service Provider. 14.4 The Service Provider must not submit a Claim Form to DHS unless: (a) the Services appearing upon the Claim Form were provided in compliance with clause 5.1(c); (b) the Services appearing upon the Claim Form were provided in accordance with the Schedule of Service Items and otherwise in accordance with this Contract; (c) the Services appearing on the Claim Form correspond to an item in the Schedule of Service Items; (d) any Services provided to a Client under a Voucher have not already been provided under that same Voucher for: (i) assessment or reassessment items as specified in the Schedule of Service Items; or (ii) fitting or refitting items as specified in the Schedule of Service Items; and (e) the Client who received the Services appearing upon the Claim Form has certified in writing either that the Client received those Services or that the Client has entered into a maintenance agreement with the Service Provider.

Payments to the Service Provider. 14.1 ‌ 11.1. The Service Provider must not make claims for payment of Scheduled Fees under this Contract unless the Service Provider complies with this Contract (including the Schedule of Service Items) in making such claims. 14.2 11.2. The Service Provider must submit a completed Claim Form to DHS in order to receive payment for Services that the Service Provider has provided to Clients. All Claim Forms must be submitted electronically to DHS unless a Claim Form is lodged in accordance with clause 14.6 or 14.711.7. 14.3 11.3. Where a Client relocates from the Service Provider to another Contracted Service Provider, the Service Provider must submit to DHS all outstanding Claim Forms in relation to that Client within twenty four weeks (2028 days) Working Days of receiving a request for the Records in relation to the Client from the other Contracted Service Provider. 14.4 11.4. The Service Provider must at all times, maintain Records that support and justify all claims for payment made. 11.5. The Service Provider must not submit a Claim Form to DHS unless: (a) the Client or the Commonwealth provided to the Service Provider a Voucher that is valid in accordance with the Voucher Rules, in relation to the Services appearing upon the Claim Form were provided in compliance with clause 5.1(c);and (b) the Services appearing upon the Claim Form were provided in accordance with the Schedule of Service Items and otherwise in accordance with this Contract; (c) the Services appearing on the Claim Form correspond to an item in the Schedule of Service Items; (d) any Services provided to a Client under a Voucher have not already been provided under that same Voucher for: (i) assessment or reassessment items as specified in the Schedule of Service Items; or (ii) fitting or refitting items as specified in the Schedule of Service Items; and (e) the Client who received the Services appearing upon the Claim Form has certified in writing either that the Client received those Services or that the Client has entered into a maintenance agreement with the Service Provider. 11.6. Where a Service Provider cannot obtain a Client’s signature due to exceptional circumstances, the Commonwealth may accept the signature of the Client’s representative as satisfying clause 11.5(b) if (a) the relationship between the Client and representative is specified on the Claim Form and (b) the relationship between the Client and representative is noted in the Records in relation to the Client.