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<br />AGENCY. RECEIVING AGENCY may take repayment from funds available under any contract Attachment, <br />active or expired, in amounts necessary to fulfill PERFORMING AGENCY repayment obligations. <br /> <br />ARTICLE 18. Advance Payments <br /> <br />PERFORMING AGENCY may request a one-time advance for each Attachment only to meet immediate need for <br />cash disbursement. PERFORMING AGENCY must make the request on a State of Texas Purchase Voucher, <br />accompanied by written justification and supporting documentation as specified in RECEIVING AGENCY's <br />Financial Administrative Procedures Manual. The advance shall be requested at the beginning of the applicable <br />Attachment period or at a later time in the applicable Attachment period if circumstances so warrant. Approval <br />of the request for advance will be at the discretion of RECEIVING AGENCY. If the request is approved, the <br />voucher will be processed; if disapproved, RECEIVING AGENCY will provide written notification to <br />PERFORMING AGENCY. <br /> <br />RECEIVING AGENCY will determine the amount ofthe advance, if any, by the amount and term of the applicable <br />Attachment(s). For each Attachment, the amount of the advance shall not exceed an amount equal to the amount <br />of the Attachment divided by the number of months covered by the Attachment multiplied by two (2). Advance <br />funds will be expended during the applicable Attachment term so that, after the final monthly billing, <br />PERFORMING AGENCY will not have advance funds on hand. <br /> <br />If the Attachment is amended to increase or decrease the total amount, RECEIVING AGENCY may make an <br />upward or downward adjustment to the allowable advance in accordance with the above formula. If <br />PERFORMING AGENCY is requesting an upward adjustment, PERFORMING AGENCY must submit a written <br />justification and State of Texas Purchase Voucher in the amount necessary to correct the ratio. If the adjustment <br />is downward, RECEIVING AGENCY will determine the amount of adjustment to the advance and the method of <br />repayment. <br /> <br />ARTICLE 19. Program Income <br /> <br />PERFORMING AGENCY may, but if a local health. department shall, develop a fee-for-service system and a <br />schedule of fees for personal health services in accordance with the provisions of Chapter 12, Subchapter D, Health <br />and Safety Code, VTCA; the Texas Board of Health rules covering Fees for Clinical Health Services, 25 TAC <br />g 1.91; and other applicable laws. No patient may be denied a service due to inability to pay. <br /> <br />All revenues directly generated by an Attachment(s) supported activity or earned only as a result of the <br />Attachment( s) during the term of the Attachment( s) are considered program income. PERFORMING AGENCY <br />shall identify and report this income utilizing the forms and time frames specified in the Reports Article of these <br />provisions. <br /> <br />PERFORMING AGENCY shall utilize one ofthe following methods for applying program income: <br /> <br />1. Additive method - add the program income to the funds already committed to the pmject by both <br />parties. Program income will be used by PERFORMING AGENCY to further the program <br />objectives ofthe state/federal statute under which the Attachment(s) was/were made, and it shall <br />be spent on the same project in which it was generated. <br /> <br />2. Deductive method - deduct the program income from the total allowable costs to determine the net <br />allowable costs. <br /> <br />(LGS) <br /> <br />2000 GENERAL PROVISIONS Page 13 <br /> <br />4/99 <br />