Chapter XII - C
Office Procedures - Customer Service Authorizations Obligations and Bills
All goods and services provided for VR customers must be
authorized, and a copy of the authorization must be kept in the customer's case
folder. Once an individual has been determined eligible for VR services, all
goods and services provided must be documented on the IPE and authorized in a
timely manner.
Any vendor providing goods and services authorized by VR must
agree not to make any charge to or accept any payment from the individual with
disabilities or his or her family for the service unless the amount of the
charge or payment is previously known and, where applicable approved by VR.
- AUTHORIZATION(S) AND
OBLIGATIONS
- Authorization(s)
The obligation/deobligation system encompasses VR federally-funded case
services. All authorizations must be written and sent to the provider of
the services. When a counselor makes an oral authorization in an
emergency situation, there must be prompt documentation and the authorization
must be confirmed in writing and forwarded to the provider of the
services. Authorizations cannot be back dated to justify payment of a
bill. Please adhere to the following:
- When a verbal authorization is provided to
a vendor in advance of a service, the authorization must be written and
added to the regional office files within five work days and forwarded
to headquarters for obligation within ten work days. The authorization
must clearly state that verbal approval for the service was given on a specific
date. Any authorizations received in headquarters which do not conform
to this policy will be returned to the regional offices.
- The authorization must be dated the day it
was actually written by the counselor. On the IPE amendment under the
date status caseload column must be dated as of the day the
authorization was written. In the service dates column, the date the
actual service occurred, or anticipated to occur, would be entered.
- All authorizations must be dated at or
after the eligibility determination, except for diagnostic services for
the purpose of determining eligibility.
- The only authorizations honored for
payment will be those authorized in advance of the service(s) to be
provided.
- Use of Vendors
The use of vendors operating in the Commonwealth of Virginia is
preferred, and the following guidelines apply:
- Licensing or Certification
Vendors used in the provision of services must be licensed or certified
by the State of Virginia (or other licensing or certifying agencies)
when such licensing or certification is required in order to provide a
specific service.
This applies to prescriptions, such as eye glasses and hearing aids,
physicians, technological aids and devices, psychologist, and any other
vendor where a license or certification is required to provide services
within the Commonwealth of Virginia.
- Other Vendors
The counselor will arrange for vendors who can provide certain other
services, such as on-the-job training programs, room and board
accommodations, etc. When arranging for these, the federal tax I.D.
number will be secured. When the vendor does not have a federal tax I.D.
number, the counselor will secure the vendor's Social Security number.
This information is needed so authorizations can be issued.
- Out-of-State Vendors
Out-of-state vendors are subject to the preceding regulations.
Training outside the Commonwealth should not be considered if there is a
comparable training program within the state.
- OBLIGATIONS
- The Obligation
Process:
- The VR counselor authorizes a service,
determines the obligation code, and gives the designated regional office
clerical staff member the BFM (Bureau of Fiscal Management) copy and the
customer case file copy of the authorization.
- The designated regional office clerical
staff member assigns a number to each authorization using a stamping
machine. (The BFM copy and the customer case file copy of an
authorization are stamped with the same number.) The designated regional
office clerical staff member then completes the top section of the ABH
form (Word) and batches the authorizations. The VR authorizations
are numbered and batched separately, each having a separate ABH form.
- The authorizations in each regional office
will be stamped/numbered consecutively on a federal FY basis beginning
every October 1. The VR authorization is to be batched separately.
- The designated regional office clerical
staff member will send the VR authorization batches to BFM on a daily or
weekly basis. Two copies of each ABH
form (Word) go to BFM. The customer case file copy of the batched
authorizations and the ABH form are kept attached together as a packet
until BFM verifies receipt and accuracy of the batch by returning one
copy of the ABH
form (Word) with the "Fiscal Management Use Only" portion
of the form completed.
- The regional office, upon receipt from BFM
of the completed ABH
form (Word), will break the batch packet and will file the customer
case file copy in a centralized regional office file until the bill is
received from the vendor.
- When a bill generated from the
authorization is submitted to BFM for payment, the regional office will
write in the authorization number on the invoice adjacent to the cost
code section. The customer case file copy of the authorization is then
moved from the centralized regional office file into the customer case
file.
- How to Obligate in
Special Situations
Following is information on: 1) the purchase order as an obligation
document; and 2) obligation of customer case service funds using
"special" contracts.
- Purchase orders under $5,000 can be used
as an obligating document for customer services when ordering equipment
not on state contract and when a vendor requires a P.O. number. Process
the P.O. as usual. Note, in rare cases where the purchase is for $10,000
or more, orders must be signed by the agency's purchasing officer.
Computer-related purchases over $5,000 need to be put on a requisition
and sent through DIT.
- Type in bottom half of description
section of P.O. the customer name and I.D. number, the cost code,
fiscal year, office location, and counselor code (if not already
there).
- Make two photocopies of the signed copy
of the P.O. from the payment package. Assign one authorization number
to these photocopies with the appropriate obligation code; send one
copy in the VR authorization batch to BFM, retain the other photocopy
at the regional office.
- To process the bill using the P.O. payment
package, write the authorization number using a number sign (#) after
the counselor code and submit to BFM. Complete the bill paying process
described on page 12-D.5 (B).
The completed bottom
half of the description section of the P.O. would appear like this:
Mary See More
000-00-0000
c/c 302/89 Hdqters HVI #000999 obl. 449
- When VR has "special"contracts,
the following procedure is done to obligate case-service funds. Special
contracts must comply with all state and federal rules. Refer to Number 1
for completion of P.O.
- Other Special
Considerations in Obligating
- All VR services for a customer must be
entered on the IPE. The obligation process sometimes requires separate
obligation codes. For example, transportation and interpreter services
may appear on the same authorization but must have separate obligation
codes and separate authorization numbers.
- A plan of services (IPE) may be written at
any time but authorizations are only issued and funds obligated when the
service is needed. For example, a plan may be written for a full college
year, but authorizations are only issued on a semester basis. Also,
remember that funds are obligated for a specific fiscal year.
- The authorization number and the counselor
code must appear on all vouchers/bills submitted to fiscal management
for payment.
- Authorizations for transportation must be
specific. For example, one round trip bus ticket @ $24.50; or private
vehicle mileage, 40 miles round trip @ 24 cents per mile = $9.60
- Authorizations for maintenance services
requires a separate authorization number. Maintenance includes room,
board, and personal incidentals, and obligation codes are 425-428.
- Ordinarily, the customer and the
vendorcannot be the same person. Any exceptions must be approved by the
deputy commissioner for services delivery and the fiscal director.
Exceptions include, but may not be limited to, transportation where bus
tickets are involved, incidentals, and maintenance.
- For Reader Service, send an authorization
to cover the quarter or semester to the customer, with a copy to BFM.
When the vendor is unknown to Reader Service, write in the vendor column
on the authorization: "Reading Services," hours and amount to
be authorized, and send to BFM.
- Do not obligate more money and submit
bills for payment for any service that was not previously authorized.
For example, authorization was for six counseling sessions @ $30 per
hour, and vendor submits a bill for eight sessions @ $30 without prior
approval. We do not pay for the additional two sessions. Medical
emergencies are the exception but only after the IPE is developed.
- If the vendor name on the authorization
and the bill are different (customer authorized to see Dr. Jones for an
examination but saw Dr. Smith instead), send a corrected copy of the
authorization to headquarters along with the bill for payment.
- Multiple Cost Codes
in Obligating
When an authorization is written to a single vendor but the services
authorized require more than one cost code, the number of authorization
numbers on the form should coincide with the number of cost codes. For
instance, if the authorization is written for interpreter services - $150
and transportation - $45, two authorization numbers should be stamped on
the authorization form. The Bureau of Fiscal Management will key the
first authorization number for the interpreter services and the second
number for the transportation. When the accounting voucher is submitted,
both authorization numbers must be included on the voucher.
- Multiple Vendors in
Obligating
Authorization for surgery normally require two or more different vendors,
e.g., hospital, physician, anesthesia, etc. Authorizations requiring
multiple vendors must show the same number of authorization numbers as
there are vendors. Therefore, if three vendors are authorized, three
authorization numbers must appear on the authorization form. The first
number will be keyed to coincide with the first vendor listed, the second
number will coincide with the second vendor, etc. Accounting vouchers
must show the proper authorization number which coincides with the
vendor.
- How to Reobligate in
Order to Pay a Late Bill Which Is Legitimate or to Pay a Bill Which Comes
in During the Prescribed Time Frame But Is for a Higher Amount Than
Originally Authorized
- There may be occasional instances when the
VR counselor wants to reobligate case services funds and pay a bill when
the original authorization is past 90 or 180 days old. An example of
such an instance might be a lengthy insurance settlement process
regarding medical services. Case services funds to pay late bills simply
because the vendor does not get around to submitting the bill on time
will not be reobligated.
- Funds may not be reobligated or paid after
the last date bills can be paid for the grant period.
- Occasions may arise when the VR counselor
may, with good reason, wish to pay more for customer goods or services
than was originally authorized. In such instances, the VR counselor will
write a new authorization (with a new authorization number) for the
additional amount only. List both authorization numbers (the old and the
new) on the bill when submitting it to BFM for payment.
- How to Handle
Transferred Cases
When a case is transferred from one DBVI regional office to another, and
bills generated for authorizations written before the transfer came in
are received for payment, write the name of the "old" DBVI
regional office in front of the authorization number on the bill or
invoice. (Example: A case is transferred from Bristol regional office to Norfolk regional office. Shortly thereafter, a bill arrives from a vendor for a service
authorized while the case was a Bristol Regional Office case. Whoever
submits the bill/invoice to BFM for payment is to write "Bristol regional office" in front of the authorization number on the bill/invoice.)
- Unexpended
Obligations Greater Than 90 Days Old/180 Days Old
The VR-7 & 11 reports will allow the VR Counselor to reobligate
unexpended balances by following the instructions below:
- Circle "yes" if the obligation
is to be deleted.
- Circle "no" if the entire
obligation should remain on file.
- Circle "no" if the counselor
wants to delete part of the obligation; strike through the net
obligation with red pen, enter the new amount in red above the old net
obligation.
- Do not do anything with dates.
- Authorization
Batch Header Form (Word) (DBVI-01- )
The Authorization Batch Header (ABH) Form is to be used by regional
offices and by BFM to ensure that copies of all case service
authorizations are sent to and are received by BFM. Instructions on how
to complete the ABH are on the form.
- VENDOR BILLS(S)
Payment for a service requires a bill from the vendor. Vendor bills are to
be processed at the regional office and sent no later than five workdays
to fiscal management at headquarters. If a counselor is to be away from
his/her office for three or more workdays, another counselor, or the
immediate supervisor, is to be designated to process the bills received.
It is conceivable to receive a bill for a service before the obligation
authorization for that service is sent to BFM. When this occurs, submit
the obligation authorization at the same time the vendor bill is submitted
to BFM for payment.
Bills for room and board costs, transportation costs, cost of lunches, and
incidental allowances submitted by a private vendor, or the individual,
must be signed by the individual.
Vendor bills received by DBVI which were not authorized in advance (verbally
or in writing) will not be honored under any circumstance. The bill will
be returned to the vendor by the regional office with a letter of
explanation citing this policy.
F. Check the Following:
- The service was authorized and, where
appropriate, documented on the IPE.
- The service was delivered to the customer.
- The amount claimed is consistent with the
service delivered and the amount authorized.
- All required medical, training, or other
reports have been submitted.
G. Document the Bill as Follows:
- Stamp date on front of the bill when it is
received at the regional office.
- Record customer's name, case number and
case load code on the original bill.
- Circle the dollar amount to be paid and
initial on original bill.
- Write the date approved for payment directly
beneath your initials.
- Identify cost code and federal fiscal year
and authorization number.
- Attach bill to appropriate accounting
document.
- Retain a copy of the bill at the regional
office. The original bill goes to BFM.
H. Accounting Documents (Accounting Voucher, Petty
Cash Reimbursement Voucher, and Inter-Agency Transfer Invoice)
The instructions and procedures for completing these documents were issued by
fiscal management during a CARS II training meeting. Please refer to those
instructions for further information.
I. Special Documentation
- Bills held in the regional office for more
than six working days must be stamped with the "Invoice Delayed
For" stamp. Give the "Disputed Invoice Date Resolved"
date and reason(s) for delay. Where available, supporting documentation
(correspondence) explaining the circumstances of the delay should
accompany the bill.
Outpatient and inpatient hospitalization and major treatment require
insurance payment verification(s) from the hospital, physician, clinic,
and/or the customer/patient before a medical bill can be processed.
- The following VR services require certain
reports before bills are processed:
- Services Reports
- Surgery Discharge Summary
- OJT Training Report(s)
- VRC Training Report(s)
- VIB Training Report(s)
- Vending Stand Training Report(s)
- Vocational Training Training Report(s)
- Physical Restoration Cases Medicare
Verification and Other Medical Insurance
- General Medical Medical Report
- Eye Examination Eye Report
- Low Vision Vision Report
- Specialty Examinations Specialty Reports
This is not an all
inclusive list.