Status: Archived
Approved Date: September 18, 2023
- payee name and address, pre-printed (letterhead, business invoice, etc.) on invoice or written on the invoice by the provider
- if an invoice is received without the name of the provider, the QE2 invoice should be sent to the provider for signature (staff cannot write the name of the provider on the invoice)
- provider’s original signature, if the provider’s name and address is not pre- printed but the provider has written it on the invoice.
- detailed description of the goods or services provided
- quantity purchased
- unit prices shown and totals extended, if applicable
- date(s) goods or services were received/provided
- consumer’s name when payment is made to a third party
- if invoice refers to attachment, quote, bid, list, etc. a copy must be attached
- Invoice date = date the payment is entered in QE2
- Start/end dates = Use the date the consumer will be paid as the begin and end date.
- Due Date = Due Upon Receipt, or can change to a date in the future.
- Invoice date = date the consumer signed the reimbursement form
- Start/end dates = date of purchase
- Due date = Due upon Receipt
- If the invoice has payment terms or a due date:
- Invoice date = the date on the invoice
- Payment terms = terms on the invoice
- NOTE:Due upon receipt cannot be written on the invoice by VR
- If the invoice does not have payment terms:
- Invoice date = date invoice stamped in office
- Payment terms = net 30
- EXCEPTION: If the date of service or the date goods were purchased is more than 30 days in the past, use the stamped in date as the invoice date and pay it due upon receipt.
- Start/end dates = Payment start/end dates must be the actual service dates for which we are being billed.
- an automatic payment invoice
- a brief description of what was authorized if the service is “Other services”
- completed consumer reimbursement form, including a description of goods/services, and consumer name, address, and signature;
- itemized receipts showing that the consumer paid for the goods or services
- Sales tax or Federal Excise tax added - Line through tax charge, reduce amount due and initial change. Do not deduct sales tax on receipts presented by the consumer for reimbursement.
- Medicaid rates –Amount due should be adjusted to the total of Medicaid rates if less than invoiced amount due or to authorized amount, whichever is less. Note and initial on the invoice an explanation and the corrected amount, and advise the provider of what is being paid by mailing or faxing a copy of the billing documents with the notations.
The state office is responsible for pre-auditing case service payments done by the field offices to ensure completeness and accuracy prior to forwarding them to Central Accounting for payment.
The following guidelines will be used to pre-audit case service invoices. Invoices that do not meet these guidelines may be returned to the offices.