07-L(1) Health Contract - Laserfiche WebLink

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denied eligibility by the Texas Department of Human Services. All bills shal] be submitted within ninety (90) days of the end of the Attachment term. In billing RECEIVING AGENCY, PERFORMING AGENCY shall certify that all billed services have been provided only to individuals who have been determined to be eligible for Title V services. RECEIVING AGENCY will pay PERFORMING AGENCY for all acceptable vouchers submitted up to PERFORMING AGENCY'S contract ceiling amount. Billing vouchers submitted outside of the time frames indicated above shall be subject to disallowance. BILLING ACTIVITY RECEIVING AGENCY shall distribute funds in a way that will maximize the delivery of authorized services to eligible clients. RECEIVING AGENCY will monitor PERFORMING AGENCY'S billing activity. If utilization is below that projected in PERFORMING AGENCY'S contract ceiling amount, shown in SECTION III. BUDGET, PERFORMING AGENCY'S ceiling may be subject to a decrease for the remainder of the contract Attachment period. PERFORMING AGENCY may be subject to contract ceiling amount decreases if PERFORMING AGENCY'S billing activity is less than projected. RECEIVING AGENCY may pay for additional services as specified in this Attachment if provided by PERFORMING AGENCY during the term of this Attachment (but not otherwise paid during the term of this Attachment) if is in the best interest of the State and the RECEIVING AGENCY Program to do so, and funds are available. If PERFORMING AGENCY exceeds the ceiling amount of the Attachment, PERFORMING AGENCY shall continue to bill RECEIVING AGENCY for the services provided. RECEIVING AGENCY may pay for these additional services if funds become available at a later date. ELIGIBILITY - All individuals considered for Title V eligibility must be screened and determined eligible using a TDH or Title V program approved screening tool as updated in the spring of each year when federal poverty levels and eligibility determination forms are revised. CO-PAY PERFORMING AGENCY may assess a co-pay from clients provided services by RECEIVING AGENCY under this Attachment. A co-pay shall not be assessed from such clients if their family income is at or below 100°Io of the most recently defined federal poverty level. A co-pay assessment may not exceed 25°Io of the amount RECEIVING AGENCY pays PERFORMING AGENCY for the provision of a given service. A client shall not be denied services due to inability to pay. Loca] Health ATTACHVIENT - Page 3