20 C.F.R. § 416.2208

Requirements for payment

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(a) The State VR agency must file a claim for payment in each individual case within the time periods specified in § 416.2216;

(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;

(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;

(e) The individual must meet one of the VR payment provisions specified in § 416.2201;

(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.

[48 FR 6297, Feb. 10, 1983, as amended at 55 FR 8456, Mar. 8, 1990; 59 FR 11918, Mar. 15, 1994; 83 FR 62460, Dec. 4, 2018]

Notes of Decisions

Cited in 1 case, 1990–1990 · leading case: McGuire v. Switzer, 734 F. Supp. 99 (S.D.N.Y. 1990).

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McGuire v. Switzer, 734 F. Supp. 99 (S.D.N.Y. 1990). “See 20 C.F.R. § 416.2208 (a) (deadline for filing with SSA).”

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