07-L(1) Health Contract - Laserfiche WebLink

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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 RECENING AGENCY under this Attachment. A co-payment assessment may not exceed 25% of the amount RECEIVING AGENCY pays PERFORMING AGENCY for the provision of a given service. A co-pay shall not be assessed from such clients if their family income is at or below 100% of the most recently defined federal poverty level. A client shall not be denied services due to inability to pay. Local Health Departments shall comply with RECEIVING AGENCY fee collection policies detailed in 25 TAC § 1.91. General Provisions, Program Income Article, is revised to include: All revenues directly generated by a Contract Attachment(s) supported activity or earned only as a result of the Attachment(s) during the term of the Attachment(s) are considered program income. PERFORMING AGENCY shall identify and report all program income annually using Form 270 Request for Advance or Reimbursement (TDH Form GG 10): Program Income may be retained by PERFORMING AGENCY so long as it is used to provide services specified in the scope of work detailed in this Attachment. This shall be ATTACHMENT - Page 3