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2008-055-RES APPROVING AND AUTHORIZING THE EXECUTION OF A CONTRACT WITH THE DEPARTMENT OF STATE HEALTH SERVICES ("DSHS") DOCUMENT NO. 2009-028229-001 RLSS-LOCAL PUBLIC HEALTH SYSTEM
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2008-055-RES APPROVING AND AUTHORIZING THE EXECUTION OF A CONTRACT WITH THE DEPARTMENT OF STATE HEALTH SERVICES ("DSHS") DOCUMENT NO. 2009-028229-001 RLSS-LOCAL PUBLIC HEALTH SYSTEM
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8/21/2012 1:01:32 PM
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CITY CLERK
Doc Name
2008-055-RES
Doc Type
Resolution
CITY CLERK - Date
7/28/2008
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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 directed by the Dep dartms for liquidaungtthe advance are <br />documentation justifying the need for an advance and the ction <br />found in the Contractor's Financial Procedures Manual located at <br />htt://www•dshs.state.tx.us/contracts. <br />Section 4.05 Financial Status Reports (FSRs). Excepntracts w th cat goncal budget r~ <br />Provisions or in the terms of the Program Attachment(s), for o <br />Contractor shall submit quarterly FSRs to Accounts Payable by the thirtieth calendar day of the term month following the end of each quarteu o bte s brmi~tt d nottach <br />la eir than s xty (60)edays fment ollow'ng the d <br />financial assessment. The final FSR m <br />end of the applicable term. <br />Section 4.06 Third Party Payors. A third party payor is any persqn 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 ano shContractolrtshall: (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 ar otherwise <br />receiveible <br />for Department services, but cannot pay a deductible required by a third party P Yort (d) not bill <br />services up to the amount of the deductible and to bill the Department for the deductible; <br />the Department for any services eligible for third party reimbursement until all appeals to third party third <br />payor payors have been exhausted; (e) maintain appropriate documentatioa o=o for servi e sprov ded under <br />reflecting attempts to obtain reimbursement; (fl bill all third party p Y ide third this Contract before submitting any request for reimbursement to Department; and (g) prov <br />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 approa dit or C eview by the Department nd all invoices and <br />Contractor's performance is subjec o <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 />
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