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the Department for the deductible; (d) not bill the Department for any services eligible for third <br />party reimbursement until all appeals to third party payors have been exhausted, in which case <br />the 30 -day requirement in the Billing Submission section will be extended until all such appeals <br />have been exhausted; (e) maintain appropriate documentation from the third party payor <br />reflecting attempts to obtain reimbursement; (f) bill all third party payors for services provided <br />under this Contract before submitting any request for reimbursement to Department; and (g) <br />provide third party billing functions at no cost to the client. <br />ARTICLE V TERMS AND CONDITIONS OF PAYMENT <br />Section 5.01 Prompt Payment. Upon receipt of a timely, undisputed invoice pursuant to this <br />Contract, Department will pay Contractor. Payments and reimbursements are contingent upon a <br />signed Contract and will not exceed the total amount of authorized funds under this Contract. <br />Contractor is entitled to payment or reimbursement only if the service, work, and/or product has <br />been authorized by the Department and performed or provided pursuant to this Contract. If those <br />conditions are met, Department will make payment in accordance with the Texas prompt <br />payment law (Tex. Gov. Code Chapter 2251). Contractor must co- with Tex. Gov. Code <br />Chapter 2251 regarding its prompt payment obligations to subcontractors. Payment of invoices <br />by the Department shall not constitute acceptance or approval of Contractor's performance, and <br />all invoices and Contractor's performance are subject to audit or review by the Department. <br />Section 5.02 Withholding Payments. Department may withhold all or part of any payments <br />to Contractor to offset reimbursement for any ineligible expenditures, disallowed costs, or <br />overpayments that Contractor has not refunded to Department, or if financial status report(s) <br />required by the Department are not submitted by the date(s) due. Department may take <br />repayment (recoup) from funds available under this Contract in amounts necessary to fulfill <br />Contractor's repayment obligations. <br />Section 5.03 Condition Precedent to Requesting Payment. Contractor shall disburse <br />program income, rebates, refunds, contract settlements, audit recoveries, and interest earned on <br />such funds before requesting cash payments including any advance payments from Department. <br />Section 5.04 Acceptance as Payment in Full. Except as permitted in the Fees for Personal <br />Health Services section or under 25 Tex. Admin. Code § 444.413., Contractor shall accept <br />reimbursement or payment from DSHS as payment in full for services or goods provided to <br />clients or participants, and Contractor shall not seek additional reimbursement or payment for <br />services or goods from clients or participants or charge a fee or make a profit with respect to the <br />Contract. A fee or profit is considered to be an amount in excess of actual allowable costs that <br />are incurred in conducting an assistance program. <br />ARTICLE VI ALLOWABLE COSTS AND AUDIT REQUIREMENTS <br />Section 6.01 Allowable Costs. For services satisfactorily performed, and sufficiently <br />documented, pursuant to this Contract, DSHS will reimburse Contractor for allowable costs. <br />Contractor must have incurred a cost prior to claiming reimbursement and within the applicable <br />term to be eligible for reimbursement under this Contract. DSHS shall determine whether costs <br />General Provisions (Core Subrecipient) 2010 10 <br />