Chapter 5: Financial Procedures and Claiming Payment
Updated 28 August 2024
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AtW MHSS Payments
5.01 Payment for the provision will be via the Provider Referrals and Payment (PRaP) system (please see Chapter 6 for PRaP processes).
5.02 Providers must ensure that payment requests for approved AtW MHSS Reports and the Support Plan are input to the PRaP system within one (1) Month of approval being given by DWP.
5.03 The AtW MHSS payment model is based on a payment by results model with an Outcome Payment as specified in your AtW MHSS Contract.
5.04 The total fee that may be payable in relation to a particular Customer (assuming the Customer is on the Programme during the Support Period and Sustainment Period and all payment criteria are met) will be paid in up to three (3) amounts:
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the initial payment will consist of 30% of the Total Possible Fee. This will be paid on receipt of the specified MHSS Support Plan (Annex C) which must be signed by the Customer, (electronic or wet signature) and be approved as being to the required quality standard by the AtW Service Delivery team.
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the second payment will consist of 50% of the Total Possible Fee. This will be paid on receipt of the specified MHSS 6 Month Report (Annex D) which must be signed by the Customer, (electronic or wet signature) and be approved as being to the required quality standard by the AtW Service Delivery team, provided that the Customer remains on the Programme and is in employment on the last day of the Support Period
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the final payment will consist of 20% of the Total Possible Fee. This will be paid on receipt of the specified MHSS Exit Report (Annex E) which must be signed by the Customer, (electronic or wet signature) and be approved as being to the required quality standard by the AtW Service Delivery team, provided that the Customer remains on the Programme and is in employment on the last day of the Sustainment Period
5.05 You are only entitled to claim either or both second and third payments if the Customer is employed at the given date, however such payments are not interdependent, and you may continue to be entitled to the third payment (if the relevant criteria are met) even if the criteria for the second payment were not met (and vice versa).
5.06 You must undertake any required Rework, at your own cost for any MHSS Reports that do not meet DWP required quality standards.
Payment Validation
5.07 For all Outcome Payment claims, Providers are required to maintain a robust system of internal control, that needs to be sufficient, not only to support claims but also to allow you to include appropriate checks, monitoring arrangements and adequate records to demonstrate that you are entitled to make the claims. The records maintained should be sufficient to not only support the claim for the Outcome Payments, but also to allow internal management checks, scrutiny from external bodies and DWP validation checks.
5.08 DWP does not prescribe the way in which you should track Customers or record information about their employment activity. There is however specific information that you are required to input in the Job Details screen within the PRaP system when you submit the claims, including Employment Type, Job Title, Job Start Date and Employer Contact Details (please see Chapter 6).
5.09 This information must be provided for each Customer and failure to provide all, or part of this information may result in the payment being recovered, if DWP invalidate the Outcome as a result. For more information on Ineligible Outcomes and recovery of sums due, please see your AtW MHSS Contract.
5.10 You must ensure that you only submit claims for Outcome Payments to which you are entitled and have received the necessary approval from the AtW Service Delivery team. DWP may conduct pre-payment checks and a sample of post payment validation checks on claims, to the extent it deems necessary (as per your AtW MHSS Contract). DWP will record and monitor Ineligible Outcomes and may recover any amount due as a result. For more information, see your AtW MHSS Contract.