Contract details

Vendor Number

If this service provider has a vendor number, enter the number.

Original Contract Begin Date

Enter the beginning date of the contract. Use the format MM/DD/YYYY. This field is required.

Contract Type

Select the type of service contract. This field is required.

When you select "Placement," the Add Non-Placement Service Cost button is disabled. When you select "Non-Placement," the Add Placement Service Costs button is disabled. Both buttons are enabled when you select "Managed Care."

Original Contract End Date

Enter the date on which this contract period ends. Use the format MM/DD/YYYY. This field is required.

Contract Number

Enter the contract number. You can enter alphabetic or numeric characters.

Original Contract Amount

Enter the total amount of the contract. This field is disabled when the contract is in "Active" status.

Approved Date

Enter the date on which the contract was approved. Use the format MM/DD/YYYY.

Encumbered Amount

Enter the encumbered amount.

Encumbered Date

Enter the encumbered date.

Notification Type

Select the notification type.

When a notification (contract amount or encumbered amount) is selected, along with a ceiling value (for example, 20%), the system multiplies the selected amount by the selected percentage and matches the result against the used amount to determine whether the ceiling threshold for that notification has been reached. If so, the system generates a notification to the contract administrator for the agency.

Notification Ceiling

Select ceiling. (Refer to the Notification Type field above.)

Status

Select the status. This field is required. If the status is currently "Active," you can change the status to "Payment Hold," Cancelled," or "Terminated." The system changes the status to "Expired" when the end date passes. This field is required.

Comments

Enter any additional information about this contract. You can enter up to 4,000 characters.