Res 1992-118 - Laserfiche WebLink

Home Browse Search

ADDENDUM TO GENERAL PROVISIONS FOR TEXAS DEPARTMENT of HEALTH CONTRACTS ARTIC;:::; 9. STANDARDS E'OR FINANCIAL MANAGEMENT, IS REVISED TO ADD A NEW PARAGRAPH: In addition, PERFORMING AGENCY agrees to bill third party payors for services provided under the Attachment(s), at no cost to the client. These potential payors include, but are not limited to, Medicaid, private insurance carriers, other available federal, state, local and private funds, etc. PERFORMING AGENCY is required to become a Medicaid provider for applicable program activities funded in the Attachment (s) hereto, and will maximize efforts to obtain payment from Medicaid and all other available sources. ARTICLE 14. PROGRAM INCOME, IS REPLACED IN ITS ENTIRETY WITH THE E'OLLOWING: PERFORMING AGENCY will 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 Soard 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) is considered program income. 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 0 f Work for the attachment (s) was made. 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 levels, billing, purposes further understood that RECEIVING AGENCY will base future funding in part, upon the PERFORMING AGENCY's proficiency in identifying, collecting, and reporting income, and in utilizing it for the and conditions of the applicable Attachment(s). Additional information is Policy interpreting UGCXA, this contract. contained in RECEIVING AGENCY's Program Income which is incorporated by reference as a pa.rt of 1993 GENERAL PROVISIONS ADDENDUM - Page 1 (7/92 )