07-E DSHS Contract 2006-020428 - Laserfiche WebLink

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General Provisions, Payment Methods and Restrictions Article, Section 4.02, is revised to include: Contractor's contract amount under this contract Attachment is a ceiling against which it may bill, on a fee-for-service basis, for the provision of allowable services to Title V eligible clients. Only allowable services provided to Title V eligible clients may be billed against this ceiling. The current schedule of allowable services and rates, as well as Title V eligibility requirements, may be modified at the sole discretion of DSHS with thirty (30) days written notice to Contractor. The notice will provide Contractor with an opportunity to terminate this contract Attachment should the modification include a reduction in rates. Contractor shall have thirty (30) days from receipt of this notice to exercise the option for termination. If the Contractor does not exercise the option during the thirty (30) day time period, Contractor shall be deemed to have waived the option. A Request for "Advance or Reimbursement", Form 270 (Form GC-lO), or the form specified in the Contractor's Financial Procedures Manual, is due no later than sixty (60) days after the end of the contract Attachment term. This report shall be marked "Final". Billing Requirements: Contractor shall bill DSHS on a monthly basis for allowable services provided to Title V eligible clients. Bills for all allowable services shall be submitted as aggregate activity reports with a DSHS Monthly Reimbursement Request and shall not refer to or identify individual clients. Contractor shall bill within thirty (30) days after the end of the month in which services were provided or within sixty (60) days in cases of potentially Medicaid eligible individuals who are denied eligibility by the Health and Human Services Commission. All bills shall be submitted within sixty (60) days of the end of the contract Attachment term. In billing DSHS, Contractor shall certify that all billed services have been provided only to individuals who have been determined to be eligible for Title V services. DSHS will pay Contractor for all acceptable vouchers submitted up to Contractor's contract ceiling amount. Billing vouchers submitted outside of the time frames indicated above shall be subject to disallowance. Billing Activity: DSHS shall distribute funds in a way that will maximize the delivery of authorized services to eligible clients. DSHS will monitor Contractor's billing activity. If utilization is below that projected in Contractor's contract ceiling amount, shown in SECTION III. BUDGET, Contractor's ceiling may be subject to a decrease for the remainder of the contract Attachment period. Contractor may be subject to contract ceiling amount decreases if Contractor's billing activity is less than projected. DSHS may pay for additional services as specified in this contract Attachment if provided by Contractor during the term of this contract Attachment (but not otherwise paid during the term of this contract Attachment) if it is in the best A TT ACHMENT - Page 4