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end of the applicable term. <br />Section 4.06 Third Party Payors. A third party payor is any person or v~ded <br />who has the legal responsibility for paying for all or part of the services pro , <br />including commercial health or liability insurance carriers, Medicaid, or other <br />federal, state, local, and private funding sources. Except as provided in the <br />Contract, Contractor shall screen all clients and shall not bill the Department for <br />services eligible for reimbursement from third party payors. Contractor shall: (a) <br />enroll as a provider in Children's Health Insurance Plan and Medicaid if providing <br />approved services authorized under the Contract that may be covered by those <br />programs, and bill those plans for the covered services; (b) provide assistance to <br />individuals to enroll in such programs when the screening process indicates possible <br />eligibility for such programs; (c) allow clients that are otherwise eligible for <br />Department services, but cannot pay a deductible required by a third party payor, to <br />receive services up to the amount of the deductible and to bill the Department~for <br />the deductible; (d) not bill the Department for any services eligible for thud p y <br />reimbursement until all appeals to third party payors have been exhausted; (e) <br />maintain appropriate documentation from the third party payor reflecting attempts <br />to obtain reimbursement; (f) bill all third party payors for services provided under <br />this Contract before submitting any request for reimbursement to Department; and <br />(g) provide third party billing functions at no cost to the client. <br />ARTICLE V TERMS AND CONDITIONS OF PAYMENT <br />Section S.OI Prompt Payment. Upon receipt of a timely, undisputedri~ voaned <br />pursuant to ,this Contract, Department will pay Contractor. Payme <br />reimbursements are contingent upon a signed Contract and will not exceed the total <br />of authorized funds under this Contract. Contractor is entitled to payment or <br />reimbursement only if the service, work, and/or product has been authorized bthose <br />Department and performed or provided pursuant to the Contract. Ie Texas <br />conditions are met, Department will make payment m accordance ~~ ~ com 1 <br />prompt payment law (TEx. Gov'T. CODE, Chapter 2251). Contractor mu p y <br />with TEx. Gov'T. CODE, Chapter 2251 regarding its prompt payment obligations to <br />subcontractors. Payment of invoices by the Department shall not constitute <br />acceptance or approval of Contractor's performance, and all invoices and <br />Contractor's performance is subject to audit or review by the Department. <br />Section 5.02 Withholding Payments. Department may withhold all or part of <br />any payments to Contractor to offset reimbursement for any ineligible expenditures <br />or overpayments that Contractor has not refunded to Department, or if financial <br />status report(s) required by the Department are not submitted by the date(s) due. <br />Department may take repayment from funds available under this Contract, active or <br />expired, in amounts necessary to fulfill Contractor's repayment obligations. <br />Section 5.03 Condition Precedent to Requesting Payment. Contractor shall <br />disburse program income, rebates, refunds, contract settlements, audit recoveries, <br />and interest earned on such funds before requesting cash payments including any <br />General Provisions (Core Subrecipient 2008) b112/2007 9 <br />