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financial assessment. Contractor shall submit the final FSR no later than sixty (60) days following <br />the end of the applicable term. <br />Section 4.06 Third Party Payors. A third party payor is any person or entity who has the legal <br />responsibility for paying for all or part of the services provided. Third party payors include, but are <br />not limited to, commercial health or liability insurance carriers, Medicaid, or other federal, state, <br />local, and private funding sources. Except as provided in this Contract, Contractor shall screen all <br />clients and shall not bill the Department for services eligible for reimbursement from third party <br />payors. Contractor shall (a) enroll as a provider in Children's Health Insurance Program and <br />Medicaid if providing approved services authorized under this Contract that may be covered by those <br />programs, and bill those programs for the covered services; (b) provide assistance to individuals to <br />enroll in such programs when the screening process indicates possible eligibility for such programs; <br />(c) allow clients who are otherwise eligible for Department services, but cannot pay a deductible <br />required by a third party payor, to receive services up to the amount of the deductible and to bill the <br />Department for the deductible; (d) not bill the Department for any services eligible for third party <br />reimbursement until all appeals to third party payors have been exhausted, in which case the thirty <br />(30) -day requirement in the Billing Submission section will be extended until all such appeals have <br />been exhausted; (e) maintain appropriate documentation from the third party payor reflecting <br />attempts to obtain reimbursement; (f) bill all third party payors for services provided under this <br />Contract before submitting any request for reimbursement to Department; and (g) provide third party <br />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 been <br />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 payment <br />law (Tex. Gov. Code Chapter 2251). Contractor shall comply with Tex. Gov. Code Chapter 2251 <br />regarding its prompt payment obligations to subcontractors. Payment of invoices by the Department <br />will not constitute acceptance or approval of Contractor's performance, and all invoices and <br />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 to <br />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) required <br />by the Department are not submitted by the date(s) due. Department may take repayment (recoup) <br />from funds available under this Contract in amounts necessary to fulfill Contractor's repayment <br />obligations. <br />Section 5.03 Condition Precedent to Requesting Payment. Contractor shall disburse program <br />income, rebates, refunds, contract settlements, audit recoveries, and interest earned on such funds <br />before requesting cash payments including any advance payments from Department. <br />General Provisions (Core Subrecipient) 2011 9 <br />