Billing Instructions

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Shared by: Jasmine Byrd
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2007-2011 Consolidated Contract Billing Instructions 1. The Local Health Jurisdiction (LHJ) will submit accurate and timely billings for services provided through the Consolidated Contract. The State form A19-1A Invoice Voucher provided by the Department of Health (DOH) must be used for clarity and consistency in billing. The A19 Page 2 billing detail document provided by DOH must be submitted with the A19-1A Invoice Voucher in order for payment to be made. The A19 Page 2 billing detail document lists programs in BARS revenue code order and only contains programs that are available for billing in that month. The current A19 and Page 2 documents can be accessed by selecting the appropriate LHJ link at the following web address: http://www.doh.wa.gov/concon/LHJMenuTitlePage/LHJMenu.htm Invoice Vouchers will be billed monthly unless otherwise stated in the specific program Statement of Work and must be received within 60 days of the close of the month in which services were provided. The source of funds may require that billings be received within a certain time period to ensure availability of funds for payment due to federal grant closures and state reporting requirements. Specific dates for performance and incurring related allowable costs are included in the Statement of Work. Payment for semi-annual invoices for the six-month periods ending June 30 and December 31 will be made upon receipt of deliverables as identified in each Statement of Work. This semi-annual review will begin after receipt of the June or December invoice. If deliverables are not received and acceptable, DOH may withhold payment of invoices. The LHJ will obtain approval by an authorized signer and mail the approved original A19-1A Invoice Voucher and Page 2 documents to DOH at the following address: Washington State Department of Health Grants Office P.O. Box 47905 Olympia, WA 98504-7905 For ConCon related billing questions, please contact Shanna Haggerty in the DOH Grants Office at (360) 236-3941 or: e-mail to:Shanna.Haggerty@doh.wa.gov. 2. 3. 4. 5. 6. Rev. 02.11.09

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