WA ST Dept of Social and Health Services DSHS 6/1/2017

Special Terms and Conditions Social Service Payment System (SSPS). The rate established in this Contract is subject to change and does not require a contract amendment. Notification of rate changes will be made in a letter from DSHS to the Contractor. Rates shall not exceed the DSHS Aging and Disability Services Administration rates published for the Contractor's geographic area. Published rates are not disputable. e. DSHS shall reimburse the Contractor as preauthorized for fares and public transportation service at the actual costs. Such costs must not exceed the preauthorized amount. 28. Billing and Payment. a. DSHS shall issue invoices generated by SSPS to the Contractor. b. The Contractor shall indicate on each invoice received from DSHS whether the services were delivered. c. The Contractor shall submit the invoices for payment as directed on the invoice or by using Invoice Express. d. The Contractor shall contact the DSHS staff who authorized the services if there is any problem with the SSPS invoice. e. DSHS shall use the completed SSPS invoice to generate payment to the Contractor. f. DSHS shall not pay the Contractor for cancelled or missed appointments or for scheduled hours of service when clients are not seen or served by the Contractor. g. DSHS will not pay in advance of services being provided; all payments are contingent on completion of planned activity. h. In the event that the Client has fewer waiver resources available than the rate set in Exhibit A, the client or their family may choose to pay for additional hours of service but may not supplement the department's rate. The Contractor accepts the DSHS payment rate as sole and complete payment for the services provided under this Contract. 1. If DSHS pays the Contractor for services authorized but not provided by the Contractor the amount paid shall be considered to be an overpayment. j. If this Contract is terminated for any reason, DSHS shall pay for only those services authorized and provided through the date of termination. k. DSHS Provider One payment system is scheduled to replace the current DSHS SSPS on or about November of 2012. In the event this contract is in place at that time DSHS will notify you of new billing instructions. Any new billing instructions will replace the SSPS billing instructions listed above and will thereby be incorporated by reference into this contract. 29. Duty to Report Suspected Abuse. The Contractor shall report, in accordance with state law, all instances of suspected Client abuse immediately to the Department at the current state abuse hotline (1-800-562-6078). 30. Duty to Report Unusual Incidents. The Contractor shall submit written information of any unusual incident to the DDD Resource Manager or the DSHS contact listed on page 1 of this Contract within seventy-two (72) hours. DSHS Central Contract Services 1803LP DDD Respite in Community Settings(5-6-11) Page 14