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interferes with normal business operations or causes damage or destruction of a place of business and/or <br />records. A written statement describing the extenuating circumstance and the last request for reimbursement <br />must be submitted for review and approval to the DSHS Accounting Section. <br />Section 4.04 Working Capital Advance. If allowed under this Contract, a single one -time working capital <br />advance per term of the Program Attachment may be granted at the Department's discretion. Contractor must <br />submit documentation to the contract manager assigned to the Program Attachment to justify the need for a <br />working capital advance. Contractor shall liquidate the working capital advance as directed by the <br />Department. The requirements for the documentation justifying the need for an advance and the directions for <br />liquidating the advance are found in the Contractor's Financial Procedures Manual located at <br />http: / /www.dshs.state.tx.us /contracts /ctbm.shtm. <br />Section 4.05 Financial Status Reports (FSRs). Except as otherwise provided in these General Provisions <br />or in the terms of the Program Attachment(s), for contracts with categorical budgets, Contractor shall submit <br />quarterly FSRs to Accounts Payable by the last business day of the month following the end of each quarter of <br />the Program Attachment term for Department review and financial assessment. Contractor shall submit the <br />final FSR no later than sixty (60) calendar days following 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 not limited <br />to, commercial health or liability insurance carriers, Medicaid, or other federal, state, local, and private <br />funding sources. Except as provided in this Contract, Contractor shall screen all clients and shall not bill the <br />Department for services eligible for reimbursement from third party payors. Contractor shall (a) enroll as a <br />provider in Children's Health Insurance Program and Medicaid if providing approved services authorized <br />under this Contract that may be covered by those programs, and bill those programs for the covered services; <br />(b) provide assistance to individuals to enroll in such programs when the screening process indicates possible <br />eligibility for such programs; (c) allow clients who are otherwise eligible for Department services, but cannot <br />pay a deductible required by a third party payor, to receive services up to the amount of the deductible and to <br />bill the 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 (30) -day <br />requirement in the Billing Submission section will be extended until all such appeals have been exhausted; (e) <br />maintain appropriate documentation from the third party payor reflecting attempts to obtain reimbursement; (f) <br />bill all third party payors for services provided under this Contract before submitting any request for <br />reimbursement to Department; and (g) 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 Contract, <br />Department will pay Contractor. Payments and reimbursements are contingent upon a signed Contract and <br />will not exceed the total amount of authorized funds under this Contract. Contractor is entitled to payment or <br />reimbursement only if the service, work, and/or product has been authorized by the Department and performed <br />or provided pursuant to this Contract. If those conditions are met, Department will make payment in <br />accordance with the Texas prompt payment law (Tex. Gov. Code Chapter 2251). Contractor shall comply <br />with Tex. Gov. Code Chapter 2251 regarding its prompt payment obligations to subcontractors. Payment of <br />invoices by the Department will not constitute acceptance or approval of Contractor's performance, and all <br />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 to Contractor <br />to offset reimbursement for any ineligible expenditures, disallowed costs, or overpayments that Contractor has <br />not refunded to Department, or if financial status report(s) required by the Department are not submitted by the <br />General Provisions (Core Subrecipient) 2013 Rev. 7/12 12 <br />