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20 C.F.R. §§ 404.2108–404.2109

2 sections in range

§404.2108. Requirements for payment.

20 C.F.R. § 404.2108

(a)
The State VR agency must file a claim for payment in each individual case within the time periods specified in § 404.2116;
(b)
The claim for payment must be in a form prescribed by us and contain the following information:
(1)
A description of each service provided;
(2)
When the service was provided; and
(3)
The cost of the service;
(c)
The VR services for which payment is being requested must have been provided during the period specified in § 404.2115;
(d)
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;
(e)
The individual must meet one of the VR payment provisions specified in § 404.2101;
(f)
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
(g)
The amount to be paid must be reasonable and necessary and be in compliance with the cost guidelines specified in § 404.2117.
Notes, amendments, and revision history

Amendments

[48 FR 6293, Feb. 10, 1983, as amended at 55 FR 8454, Mar. 8, 1990; 59 FR 11914, Mar. 15, 1994; 83 FR 62457, Dec. 4, 2018]

Authority

Authority: Secs. 205(a), 222, and 702(a)(5) of the Social Security Act (42 U.S.C. 405(a), 422, and 902(a)(5)).

Source

Source: 48 FR 6293, Feb. 10, 1983, unless otherwise noted.

Amendments

[48 FR 6293, Feb. 10, 1983, as amended at 55 FR 8454, Mar. 8, 1990; 59 FR 11914, Mar. 15, 1994; 83 FR 62457, Dec. 4, 2018]

§404.2109. Responsibility for making payment decisions.

20 C.F.R. § 404.2109

The Commissioner will decide—
(a)
Whether a continuous period of 9 months of SGA has been completed;
(b)
Whether a disability beneficiary whose disability has ceased should continue to receive benefits under § 404.316(c), 404.337(c), or 404.352(c) for a month after October 1984, based on his or her continued participation in a VR program;
(c)
If and when medical recovery has occurred;
(d)
Whether documentation of VR services and expenditures is adequate;
(e)
If payment is to be based on completion of a continuous 9-month period of SGA, whether the VR services contributed to the continuous period of SGA;
(f)
Whether a VR service is a service described in § 404.2114; and
(g)
What VR costs were reasonable and necessary and will be paid.
Notes, amendments, and revision history

Amendments

[55 FR 8454, Mar. 8, 1990, as amended at 59 FR 11914, Mar. 15, 1994; 68 FR 40123, July 7, 2003]

Authority

Authority: Secs. 205(a), 222, and 702(a)(5) of the Social Security Act (42 U.S.C. 405(a), 422, and 902(a)(5)).

Source

Source: 48 FR 6293, Feb. 10, 1983, unless otherwise noted.

Amendments

[55 FR 8454, Mar. 8, 1990, as amended at 59 FR 11914, Mar. 15, 1994; 68 FR 40123, July 7, 2003]