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ARTICLE 12. Advance Pavments PERFORMING AGENCY may request, in writing, a one time advance with proper justification and the concurrence of RECEIVING AGENCY. Amount of advance will be determined by the amount and term of the attachments(s); however, for each attachment, the amount of the advance will not exceed one-sixth (1/6th) of a twelve-month attachment. Advance will be requested on a State of Texas Purchase Voucher at the beginning of attachment period or at a single later time in the attachment period if circumstances so warrant and the request is approved. Advance funds will be liquidated during the attachment term so that, after final monthly billing. PERFORMING AGENCY will not have advance funds on hand. Advance funds may be drawn only to meet immediate cash needs for disbursement (UGCMS and federal circulars). Amendments to this contract may require upward or downward adjustment 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 ~ECEIVING 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 th~ 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 13. Program Income PERFORMING AGENCY will develop a fee for service system and a schedule of fees for personal health services in accordance with the provisions of Article 4414c, V.T.C.S., and the Texas Board of Health rules covering Fees for Clinical Health Services (25 TAC, Sec. 1. 91) and other applicable laws provided, however, that a patient may not be denied a service due to inability to pay. All revenues received from the delivery of contract services will be identified, reported, and deducted from total project costs. ARTICLE 14. Financial Reports Financial reports are required as provided in UGCMS and will be filed regardless of whether or not expenses have been incurred. Quarterl y Financial Status Report, State of Texas Supplemental Form 269a (TDH Form GC-4), will be submitted within 20 days following the end of each quarter. Annual/Final A final financial report, Request for Advance or Reimbursement, Form 270 (TDH Form GC-IO) will be submitted not later than 45 days following the end of attachment term(s). An amended Form 269a will be submitted if the amount of expenditures reported in the last quarter changed. If necessary, a State of Texas Purchase Voucher will be submitted if all costs have not been recovered or a refund will be made of excess monies if costs incurred were less than funds received. GENERAL PROVISIONS - Page 5