Contract Payment Process and Required Documentation

Report Due Dates

The Standard Voucher and supporting documentation are due 30 days following the end of each quarter:

  • January – March, due April 30th
  • April – June, due July 31st
  • July – September, due October 31st
  • October – December, due January 31st

Payment Process

A standard voucher should be filed quarterly showing the actual expense for that time period. Each quarter, the standard voucher with attached documentation should be sent to the address below.

STAC & Medicaid Unit
Attn: Sheila Costa, Coordinator
NYS Education Department
89 Washington Avenue, Rm. 25 EB
Albany, NY 12234

Required Documentation for Quarterly Payment

  • Signed, completed Standard Voucher.;
  • Medicaid FS-10 form showing the detail of the actual expenses for the quarter.;
    Through the contract process, you will need to attach copies of receipts for all purchases. Short narrative – include a brief description of each expense category summarizing your activities;
  • Technical Support Reporting form.; and
  • Copy of MWBE Quarterly Compliance Report.
    IMPORTANT: The MWBE Quarterly Compliance Reports should be submitted electronically to Joan Ramsey at, with a copy to be included in the quarterly documentation packet sent to the Medicaid Unit. Questions regarding the completion of this report should be sent directly to Joan Ramsey at the email above.

Copies of the forms listed above may be requested by emailing  The following forms may also be requested:

  • Training Roster;
  • Travel Expense Form;
  • FS-10A (Proposed Amendment);
  • FS-10F (Final Expenditure Report); and
  • Form B (Annual Employment Report).

If you have any questions or need further clarification, please contact Sheila Costa at (518) 474-4178 or by email at

Last Updated: November 29, 2021