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(/3H Amendments to this Attachment (s) may require upward or downward adj ustment to the allowable advance until it equates 1/6th of a twelve-month Attachment or approximates two months operating costs. In the case of a downward adjustment, PERFORMING AGENCY and RECEIVING AGENCY will agree on the amount of adjustment to the advance. RECEIVING AGENCY retains the option to reduce future claims by the required amount. In the case of an upward adjustment and PERFORMING AGENCY needs additional funds to meet immediate operating expenses, PERFORMING AGENCY may submit to RECEIVING AGENCY a written justification and state of Texas Purchase Voucher in the amount necessary to correct the-ratio. ARTICLE 14. Proqram IncOme PERFORMING AGENCY may develop a fee for service system and a schedule of fees for personal health services in accordance with the provisions of Chapter 12, Sub- chapter D, Health and Safety Code and the Texas Board of Health rules covering Fees for Clinical Health Services (25 TAC, Section 1.91) and other applicable laws provided, however, that a patient may not be denied a service due to inability to pay. Both parties agree all revenues directly generated by an Attachment(s) supported activity or earned only as a result of the Attachment(s) during the term of the Attachment(s) are considered program income. This income will be identified and reported quarterly and annually utilizing the report forms identified in the Financial Reports Article of these provisions. PERFORMING AGENCY will retain the program income and use one of the following alternatives: 1. Where the PERFORMING AGENCY- is reimbursed by RECEIVING AGENCY under a cost reimbursement method, the additive or deductive alternatives for program income may be used. Under the additive method, PERFORMING AGENCY will add the program income to the funds already committed to the project by both the RECEIVING AGENCY and PERFORMING AGENCY. Funds will be used to further the program objectives of the State/Federal statute under which the Scope of Work for the Attachment(s) was made. Program income earned in a current budget period and not expended in that budget period may be carried forward to ~the next budget period but must be spent in the next budget _per iod, or deducted from program expenditures. This policy will apply unless specifically stated otherwise in the Special Provisions of the contract Attachment(s). Under the deductive method, the PERFORMING AGENCY will deduct the program income from the total allowable costs to determine the net allowable costs. 2. Where the PERFORMING AGENCY is reimbursed by RECEIVING AGENCY under a fixed price arrangement, only the deductive alternative for program income will be used. PERFORMING AGENCY deducts the program income- from the total allowable project costs to determine the net allowable costs. It is further understood that RECEIVING AGENCY may base future funding levels, in part, upon the PERFORMING AGENCY'S proficiency in identifying, billing, collecting, and reporting income, and in utilizing it for the purposes and conditions of the applicable Attachment(s). Additional information is contained in RECEIVING AGENCY'S Program Income Policy interpreting UGCMA, which is incorporated by reference as a part of this contract. ARTICLE 15. Financial Reports Financial reports are required as provided in UGCMA and will be filed regardless of whether or not expenses have been incurred. 1994 GENERAL PROVISIONS - Page 6 (5/93)