Agreement Form and Instructions for Automatic Clearing House (ACH) Payments
Mental health provider agencies under contract with the Division of Mental Health Services can have their payments deposited electronically. We strongly advise you to receive your payments via electronic fund transfer (a.k.a. “automatic deposit” and “EFT”). Please consider the following:
- If you are a one month advance pay provider your payment is to arrive on or about the first of the month being advanced. The Division will schedule the routine mailing of these checks and the electronic fund transfer during the last week of the current month.
- The Division cannot guarantee when your agency will receive the advanced payment check in the mail.
- The Division can, however, schedule the arrival date of the EFT such that it occurs no later than the 30th of the month proceeding the advanced month. You should not expect to receive an advanced payment EFT any earlier than the 27th of the prior month.
- Kindly complete the application and submit it to the attention of Christopher Schwartz at the address listed below. Please remember to include the required original voided check or bank letter. Bank letter is to include the: 1) ABA routing or transit number, 2) bank account number and 3) specify if it is a checking or a savings account).
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In addition to the above, please note the payment information found on a check stub is still available to EFT vendors. This information is available via the “Web Vendor Payment Inquiry” function provided by the New Jersey Treasury Department.
For further information, please contact:
Christopher Schwartz, Analyst, HCF & Payment Coordinator
Division of Mental Health Services
P.O. Box 727
Trenton, NJ 08625-0727
(609) 777-0615
Agreement Form and Instructions for Electronic (ACH) Payments :
° Form
° Instructions
