IC Documentation

Examples of Documentation:

  • Current insurance, drivers license, mandated minimal training, etc.
  • Client reviews
  • Billing (some billing errors will result in non-payment for that service depending on specific funding guidelines that may deviate from the below policy)
  • Any request documentation

 

Billing request: If billing is not submitted per policy then an exception may be requested for manual verification and an individual provider billing submission may be requested. There is a fee deducted from the month's reimbursement rate for anytime that this is completed. 1% for first request, 2% for second request, and so on. Depending on funding source individual billing requests may not be granted.*Exceptions, if there is a technology error or human error then there is no fee, Angels Service LLC must be alerted via scomm the same day as error in order to avoid fees (limit 5 per month).

 

1st time out of compliance:

IC will receive an alert with a 72 hour window to provide all documentation required. There will be no delay in pay if documentation is received within the 72 hour window. If documentation is past the 72 hour window, once all documentation is received provider may request pay, it will be sent out the 2nd Thursday following the 28th or if the 2nd Thursday has passed then it will be sent the following pay cycle on the 28th.

 

2nd time out of compliance:

IC will receive an alert. Check will not be available on the 28th. Check may be requested after receipt of all documentation and will be send out the 2nd Thursday following the 28th. If the 2nd Thursday has passed it will be sent the following pay cycle on the 28th.

 

3rd time out of compliance:

IC will receive an alert. Check will not be available on the 28th. Check may be requested after receipt of all documentation and will be sent out the following pay cycle which would be the 28th the following month.

 

4th time out of compliance:

IC will receive an alert of contract deactivation. Check will not be available on the 28th. Action plan required to prevent further contract violations. Check may be requested after receipt of all documentation AND action plan. Check will be sent the following pay cycle which would be the 28th of the following month.

 

5th time out of compliance:

IC will receive an alert of contract suspension. Check will not be available on the 28th. IC is not eligible for pay for any services provided while out of compliance as they are not an active IC any longer. Contract remediation may be requested (there will be an additional 5% for detailed contract monitoring applied for 6 months), once all documentation and updated contract is signed pay may be requested. Check will be sent the following pay cycle which would be the 28th of the following month.

 

6th time out of compliance:

IC will receive an alert of contract termination. Check will not be available on the 28th. IC is not eligible for pay for any services provided while out of compliance as they are not an active IC any longer. The IC will need to request a new conditional contract which will reduce pay by 10% for a period of 12 months and pay a $100 processing fee. Check will be sent the following pay cycle which would be the 28th of the following month if conditional contract request is granted if a request is not made or not granted then services that were eligible for pay will be released on the current pay cycle.


Updated 1/16/18 Serena Akinahew