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§ 404.2108 - Requirements for payment.

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The State VR agency must file a claim for payment in each individual case within the time periods specified in § 404.2116;

The claim for payment must be in a form prescribed by us and contain the following information:

A description of each service provided;

When the service was provided; and

The cost of the service;

The VR services for which payment is being requested must have been provided during the period specified in § 404.2115;

The VR services for which payment is being requested must have been provided under a State plan for VR services approved under title I of the Rehabilitation Act of 1973, as amended, and must be services that are described in § 404.2114;

The individual must meet one of the VR payment provisions specified in § 404.2101;

The State VR agency must maintain, and provide as we may require, adequate documentation of all services and costs for all disability beneficiaries with respect to whom a State VR agency could potentially request payment for services and costs under this subpart; and

The amount to be paid must be reasonable and necessary and be in compliance with the cost guidelines specified in § 404.2117.

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§ 404.2106
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§ 404.2109 - Responsibility for making payment decisions.