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assigned to the Program Attachment to justify the need for a working capital advance. The working <br />capital advance must be liquidated as d'uected by the Department. The requirements for the <br />documentation justifying the need for an advance and the directions for liquidating the advance aze <br />found in the Contractor's Financial Procedures Manual located at <br />. <br />httT)://www.dsh;.state.tx.us/contracts <br />Section 4.05 Financial Status Reports (FSRs). Except as otherwise provided in these General <br />Provisions or in the terms of the Program Attachment(s), for contracts with categorical budgets, <br />Contractor shall submit quarterly FSRs to Accounts Payable by the thirtieth calendar day of the <br />month following the end of eac musot bte Program <br />d ott la er than s xty (60)edays follow ng the d <br />financial assessment. The final FSR <br />end of the applicable term. <br />Section 4.06 1'hird Party Payors. A third party payor is any person or entity who has the legal <br />responsibility for paying for all or part of the services provided, including commercial health or <br />liability insurance carriers, Medicaid, or other federal, state, local, and private funding sources. <br />Except as provided in this Contract, Contractor shall screen all clients an~d s. hContractortshall: (a) <br />Department for services eligible for reimbursement from third party p y <br />enroll as a provider in Children's Health Insurance Plan and Medicaid if providing approved services <br />authorized under this Contract that may be covered by those programs, and bill those plans for the <br />covered services; (b) provide assistance to individuals to enroll in such programs when the screening:. <br />process indicates possible eligibility for such programs; (c) allow clients that are otherwise eligible <br />for Department services, but cannot pay a deductible required by a third party payor, to receive <br />services up to the amount of the deductible and to bill the Department for the deductible; (d) not bill <br />the Department for any services eligible for third party reimbursement until all appeals to third party <br />payors have been exhausted; (e) maintain appropriate documentation from the third party payor <br />reflecting attempts to obtain reimbursement; (fl bill all third party payors for services provided under <br />this Contract before submitting any request for reimbursement to Department; and (g) provide third party billing functions at no cost to the client. <br />ARTICLE V TERMS AND CONDITIONS OF PAYMENT <br />Section 5.01 Prompt Payment. Upon receipt of a timely, undisputed invoice pursuant to this . <br />Contract, Department will pay Contractor. Payments and reimbursements are contingent upon a <br />signed Contract and will not exceed the total amount of authorized funds under this Contract. <br />Contractor is entitled to payment or reimbursement only if the service, work, and/or product has been <br />authorized by the Department and performed or provided pursuant to this Contract. If those <br />conditions are met, Department will make payment in accordance with the Texas prompt payment . <br />law (Tex. Gov. Code Chapter 2251). Contractor must comply with Tex. Gov. Code Chapter 2251 <br />regarding its prompt payment obligations to subcontractors. Payment of invoices by the Department <br />shall not constitute 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 any payments to <br />Contractor to offset reimbursement for any ineligible expenditures or overpayments that Contractor <br />Page 9 of 38 <br />General Provisions (Core Subrecipient 2009) 6/5/08 <br />. 000040 <br />