The State Agency agrees to. A. Submit claims to the MCS contractor on an approved claim form or in an acceptable electronic media. The State Agency may submit documentation of the services rendered as an attachment to the claim form. The attached documentation must contain the required information as listed in Section D. below, unless the required information is also entered on the face of the claim. In no case shall any document or attachment be sent which does not clearly identify the patient. The attached documentation of services shall follow the basic format specified in item 24 of the CMS 1500 Claim Form or CMS 1450 UB-04 claim forms. If the services of more than one provider are included on an attachment, the name and address of the provider of each service or group of services shall be clearly indicated.
The State Agency agrees to a. Monitor the vendor's performance under this agreement in a reasonable manner, to assure compliance with the agreement and with federal and District of Columbia WIC Program rules, regulations and policies and applicable law. Vendors shall be monitored one or more times annually but no less than once every two years or upon receipt of complaints as deemed appropriate.
The State Agency agrees to. 1. Reimburse the SFA, to the extent available funding, for meals meeting the nutritional requirements served to children attending the schools participating in the Child Nutrition Programs covered by this Agreement. The amount of reimbursement during any fiscal year shall be paid in accordance with the allowable rates established by the U.S. Department of Agriculture regulations.
The State Agency agrees to. A. Make payment to the vendor for actual costs of WIC FMNP and/or Senior FMNP checks redeemed in compliance with the conditions contained in Section II and III above. WIC eWIC card transactions will not be paid under this agreement.
