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<br />ADDENDUM TO GENE~ ?ROVISIONS FOR <br />TEXAS OEPAR~ OF BEALTH CONTRACTS <br /> <br />.=\R:":C:'Z 9. <br /> <br />S~.~NCA?::-S ?'OR ?:'ANC:.~L ~NAGZ~E:'l'!". !S ::r'::~J:SEn -:0 M..nD A NEW ?AAACR.A?q: <br /> <br />In addition, ?E:RE'OR."C~G AGZ:ICY aq:ees to bill thi:d 'par~y payors for ser7icss <br />provided under t~e Ac,=achment{s), at no cost to the client. These potential <br />payors i~cl~de, but are not limi~ed to, Medicaid, private insurance carriers, <br />other available =ederal, state, local and private f~nds, etc. pgRFO~~ING <br />AGE~lCY is requi:ed t:::l become a Medicaid provider for applicable program <br />activities funded in t11e Attachment{s) hereto, and will maximize efforts to <br />obtain paymenc from ~ed~caid and all other available sources. <br /> <br />AR":"!Cr.Z 2.4. <br /> <br />?ROGRA-l.{ ::-ICO~'::. !S RE'?!.AC'!D r~ !":"S '::~l':"::U:7Y W!:"R' THE FOr.LOW!~G: <br /> <br />PERFORM!NG AGE~CY will develop a fee for service system and a schedule of fees <br />for personal heal~h services in accordance with the provisions of Chapter 12, <br />Sub-chapter 0, Heal=h and Safety Code and the Texas Board of Health r'.J.les <br />covering Fees for Clinical Health Services (25 TAC, Section 1. 91) and other <br />applicable laws provided, however, that a patient may not be denied a service <br />due to inability to pay. <br /> <br />Both parties agree all revenues directly generated by an Attachment(s) <br />supported ac~iviey or earned only as a result of the Attachment(s) during the <br />ter:n of the Attachment (s) is considered program income. PERFORlolING AGZNCY <br />will retain the program income and use one of the following al~ernatives: <br /> <br />1. Where the PERFOR.'1ING AGZNCY is reimbursed by ~CEIVING AGENCY under a <br />cost rei..'11bursement method, the additive or deductive alternatives for <br />program income may be used. Under the additive method, PERFO~~rNG AGENCY <br />will add the program income to the funds already committed to the project <br />by both the RECEIVING AGENCY and PERFORMING AGENCY. Funds will be used to <br />fur':l1er th.e program objectives of the State/Federal statute under which <br />the Scope of Work for the attachment (s) was made. Under the deductive <br />method, the PERFOR.'1ING AGZNCY will deduct the program income from the <br />total allowable costs to determine the net allowable costs. <br /> <br />2. Where the PERFOR.'lING AGENCY is reimbursed by RECEIVING AGENCY under a <br />fixed price arrangement, only the deductive alternative for program income <br />will be used. PERFO~~rNG AGENCY deducts the program income from the total <br />allowable project costs to determine the net allowable costs. <br /> <br />It is <br />levels, <br />billing, <br />purposes <br /> <br />further understood that RECEIVING AGENCY will base future funding <br />in part, upon the PERFOR..'ir~G AGENCY' 51 proficiency in identifying, <br />collecting, and reporting income, and in utilizing it for the <br />and conditions of the applicable Attachment{s). <br /> <br />Additional information is <br />Policy in~er?reting UGCXA, <br />this conc:act. <br /> <br />contained <br />which is <br /> <br />in RECEIVING AGENCY's Program Income <br />incorporated by reference as a part of <br /> <br />199) GE~IER.A:. ?ROV: s rONS ADD ENDUM <br /> <br />(7/92 ) <br />