07-L(1) Health Contract - Laserfiche WebLink

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BII.LING ACTIVITY RECENING AGENCY shall distribute funds in a way 1 authorized services to eligible clients. RECEIV: PERFORMING AGENCY'S billing activity. If utiliL PERFORMING AGENCY'S contract ceiling amount, sr PERFORMING AGENCY'S ceiling may be subject to a contract Attachment period. PERFORMING AGEN, ceiling amount decreases if PERFORMING AGENC projected. RECENING AGENCY may pay for additional service if provided by PERFORMING AGENCY during the I otherwise paid during the term of this Attachment) if i and the RECEIVING AGENCY Program to do s PERFORMING AGENCY exceeds the ceiling PERFORMING AGENCY shall continue to bill RECEI provided. RECEIVING AGENCY may pay for these ac available at a later date. ELIGIBILITY at will maximize the delivery of 1G AGENCY will monitor ion is below that projected in wn in SECTION III. BUDGET, lecrease for the remainder of the Y may be subject to contract 'S billing activity is less than as specified in this Attachment rm of this Attachment (but not in the best interest of the State and funds are available. If mount of the Attachment, 'ING AGENCY for the services itional services if funds become All individuals considered for Title V eligibility mu t be screened and determined eligible using a TDH or Title V program approved scree~ing tool as updated in the spring of each year when federal poverty levels and eligibility d~termination forms are revised. CO-PAY PERFORMING AGENCY may, assess a co-pay frort~l clients provided services by RECEIVING AGENCY under this Attachment. A cc}-payment assessment may not exceed 25% of the amount RECEIVING AGENCY paysl PERFORMING AGENCY for the provision of a given service. A co-pay shall not be aslsessed from such clients if their family income is at or below 100°l0 of the most recently Oefined 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 polici~s detailed in 25 TAC § 1.91. General Provisions, Program Income Article, is revised to All revenues directly generated by a Contract Attachmen (s) supported activity or earned only as a result of the Attachment(s) during the term of t e Attachment(s) are considered program income. PERFORMING AGENCY shall id ntify and report all program income annually using Form 270 Request for Advance 6r Reimbursement (TDH Form GG10). 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