---
kind: "range"
citation: "20 C.F.R. §§ 416.2208–416.2209"
title: "20"
from: "416.2208"
to: "416.2209"
count: 2
url: "https://uscodex.org/cfr/20/416.2208..416.2209"
---

# §416.2208. Requirements for payment.

- (a) The State VR agency must file a claim for payment in each individual case within the time periods specified in [§ 416.2216](/cfr/20/416.2216.md);
- (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 [§ 416.2215](/cfr/20/416.2215.md);
- (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 [§ 416.2214](/cfr/20/416.2214.md);
- (e) The individual must meet one of the VR payment provisions specified in [§ 416.2201](/cfr/20/416.2201.md);
- (f) The State VR agency must maintain, and provide as we may require, adequate documentation of all services and costs for all disabled or blind recipients 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 [§ 416.2217](/cfr/20/416.2217.md).

# §416.2209. Responsibility for making payment decisions.


The Commissioner will decide:

- (a) Whether a continuous period of 9 months of SGA has been completed;
- (b) Whether a disability or blindness recipient whose disability or blindness has ceased should continue to receive benefits under section 1631(a)(6) of the Social Security Act for a month after October 1984 or, in the case of a blindness recipient, for a month after March 1988, 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 [§ 416.2214](/cfr/20/416.2214.md); and
- (g) What VR costs were reasonable and necessary and will be paid.