BDI Family Support Vendor Invoice Submission Form



Please complete the following information for any request to use Family Support Funds. Family Support is a non-entitlement program and is based on funding availability.


BDI ONLY ACCEPTS ONE INDIVIDUAL PER INVOICE AND ONE INVOICE PER REQUEST.


ATTENTION

**** Policy Change Notice ****

Effective January 1, 2020: • Vendors will be paid via direct deposit only; • Reimbursements to families will no longer be processed after December, 2019; All invoices will be submitted by vendors to further expedite payments • All invoices must be submitted within 30 days of services; this helps us meet state requirements for timely submission of claims, avoids risk of denials, and ensuring vendors get paid for services rendered.


July 1, 2024 URGENT NOTICE


BDI is no longer processing invoices for services rendered last Fiscal Year (July 1, 2023 through June 30, 2024).


REQUEST INFORMATION

BDI strives to ensure that we process invoices in a timely manner. To qualify for payment by the BDI Family Support Program Vendors must:


  1. Be a Pre-Approved Vendor. Please complete our Vendor Application to enroll.
  2. Ensure the Individual receiving services has been approved for your services, prior to service delivery. BDI is not liable for services provided without prior approval.
  3. All requests must have an invoice with the information listed below.

Invoice Document Requirements

Please make sure the invoice has the following information:

  1. Provider Name
  2. Provider Address
  3. Provider Tax ID
  4. Participant Name
  5. Description of Services/Supplies Provided
  6. Invoice Number
  7. Date(s) of Services Provided
  8. Amount

INVOICE SUBMISSION INFORMATION

Submission Checklist*

Does the invoice being submitted meet the following three conditions?


  1. Invoice being submitted is within 30 days of service provided.
  2. The invoice being submitted is for only one individual.
  3. Only one invoice will be attached to this request.
Select
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Phone

Please list individual identified on the invoice.

A valid primary email address for the individual receiving services is required (This can be the parent or guardian email).

Date of Birth of the individual is required and must be accurate.


BDI is no longer processing invoices for services rendered last Fiscal Year (July 1, 2023 through June 30, 2024).

If purchasing a good or item use the same date as above.


Invoice # Requirements:


  1. BDI requires that all request have an invoice number (NUMBERS ONLY).
  2. The invoice number must different from previous invoice numbers submitted.
  3. SPACES AND SPECIAL CHARACTERS ARE NOT ALLOWED ("!"#$%&'()*+,-./:;<=>?@[\]^_`{|}~")
  4. Errors will result in payment delay.


Drag and drop files here or

INVOICE SUBMISSION VERIFICATION

By checking this box I verify that I understand the following disclaimers:


  1. Services and/or goods must be listed on the Service Plan, and cannot exceed State of Georgia established caps on services/goods.
  2. BDI reviews GA State Policies for Family Support Services quarterly. Eligibility for expenses will be determined per the most recent policy which may result in previously approved services and goods no longer being eligible for reimbursement.
  3. Family Support Services are not a grant or an entitlement and funding availability is not guaranteed.
  4. Family Support funding is available on a first come first serve basis. Check Requests submitted near the end of the fiscal year may not be paid due to program funding limitations.
  5. Vendor payments are processed on a net 30 days payment cycle.


Please type the name of the individual completing this request.

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