m. Contract approval - Laserfiche WebLink

PAGE 2 Bo The Provider understands and agrees that: 1. Travel time will not be billed nor paid. 2. The contracted rates are the maximum allowable and will cover all costs to provide a unit of service, as defined by this contract. CCSSB makes no guarantee of the number of hours that will be referred for service 3. No release time or cancel time will be billed. 4. Supervisory time, charting time, training, client reassessment, and all other activities relating to program management are built into the rate. 5. The Provider shall submit a complete billing for a service Period to the CCSSB within 5 working days following the close of each service period. Such billing must be submitted with required information stated in "D" below. 6. Payment will not be made for unauthorized services rendered by the Provider, nor for claimed services which CCSSB determines by contract monitoring, have not been provided as authorized or have been provided in excess of authorizations. 7. No supplemental billings will be accepted by the CCSSB without prior notification to CCSSB of the need and justification for such a billing and authorization by the CCSSB to submit. Payment for authorized supplemental billing will be made as part of the next regular claim cycle. 8. CCSSB will make payments within statutory requirements. The provider understands and agrees that Title XX/Cass County funded recipients will be screened by Cass County Social Services to determine eligibility. Both parties understand that units of service expended will be at the unit rate of $4.25/unit. Compensation for Title XX/Cass County funded services cannot exceed $35,000 during the 2003 calendar year. The CCSSB agrees to reimburse the Provider at the negotiated rates per Form #1699 upon the Provider's billing to the County Social Service Board. The billing must include the recipient's name, units of service per recipient, per date, and compensation being claimed. With each billing, the Provider must attest to the following statement: "I certify that the above information is true and correct. I understand that payment of this claim is payment in full. I further understand that any false claims made will constitute a violation that may result in prosecution." E° The provider agrees to accept the rate of payment as payment in full and shall not make demands on individual recipients of service, their family or guardian, for any additional compensation for these same services.