COST SETTLEMENT. A. If the Contractor provides mental health services as defined in CCR Title 9 (whether Medi-Cal or non-Medi-Cal), Contractor shall provide County a Certified Annual Mental Health Cost Report. Contractor shall certify and submit a Cost Report covering the preceding County fiscal year of July 1 through June 30, in a form satisfactory to the Director and as prescribed by the State in the Cost Reporting Data Collection Manual and Xxxxx-Xxxxx/Medi-Cal cost report instructions. This Cost Report is due to the County no later than October 31 unless otherwise specified by the Director. In the event that this Agreement expires or is terminated on a date other than June 30, Contractor shall provide County such a Cost Report, covering the preceding period of July 1 through the date of expiration or termination no later than forty-five (45) days after the date of expiration or termination unless otherwise specified by the Director. B. Contractor may use unaudited financial statements as the basis of cost information for completion of the Cost Report. Contractor will forward a copy of the unaudited financial statements to County along with the completed Cost Report. C. This Cost Report is subject to examination and audit by County, State and/or Federal government, and their authorized representatives, to determine its compliance with this Agreement and any applicable laws and regulations. D. County shall inform Contractor of any audit finding relevant to the Contractor. Contractor and County shall take any necessary actions to respond to, correct, and resolve the audit findings. E. Should the County, State and/or Federal government, and their authorized representatives, disallow any paid goods and/or services, or determine that Contractor has misspent funds, or been overpaid based on the requirements of this Agreement and applicable laws and regulations, County shall demand repayment from Contractor for any amount determined disallowable. F. Should the County, State and/or Federal government, and their authorized representatives, determine that Contractor’s actual expenses for goods and/or services provided under this Agreement are more than the compensation paid to Contractor by County, County shall reimburse the Contractor. G. Method of repayment, either due from the County to Contractor or vice versa, is detailed in Exhibit C. H. County shall determine the final compensation to the Contractor based on the final audited Cost Report at the actual rate and the total compensation shall not exceed the maximum payable set forth Section III of this Agreement.
Appears in 2 contracts
Samples: Agreement for Mental Health Services, Agreement for Mental Health Services
COST SETTLEMENT. A. If the Contractor provides mental health services as defined in CCR Title 9 (whether Medi-Cal or non-Medi-Cal), Contractor shall provide County a Certified Annual Mental Health Cost Report. Contractor shall certify and submit a Cost Report covering the preceding County fiscal year of July 1 through June 30, in a form satisfactory to the Director and as prescribed by the State in the Cost Reporting Data Collection Manual and Xxxxx-Xxxxx/Medi-Cal cost report instructions. This Cost Report is due to the County no later than October 31 unless otherwise specified by the Director. In the event that this Agreement expires or is terminated on a date other than June 30, Contractor shall provide County such a Cost Report, covering the preceding period of July 1 through the date of expiration or termination no later than forty-five (45) days after the date of expiration or termination unless otherwise specified by the Director.
B. Contractor may use unaudited financial statements as the basis of cost information for completion of the Cost Report. Contractor will forward a copy of the unaudited financial statements to County along with the completed Cost Report.
C. This Cost Report is subject to examination and audit by County, State and/or Federal government, and their authorized representatives, to determine its compliance with this Agreement and any applicable laws and regulations.
D. County shall inform Contractor of any audit finding relevant to the Contractor. Contractor and County shall take any necessary actions to respond to, correct, and resolve the audit findings.
E. Should the County, State and/or Federal government, and their authorized representatives, disallow any paid goods and/or services, or determine that Contractor has misspent funds, or been overpaid based on the requirements of this Agreement and applicable laws and regulations, County shall demand repayment from Contractor for any amount determined disallowable.
F. Should the County, State and/or Federal government, and their authorized representatives, determine that Contractor’s actual expenses for goods and/or services provided under this Agreement are more than the compensation paid to Contractor by County, County shall reimburse the Contractor.
G. Method of repayment, either due from the County to Contractor or vice versa, is detailed in Exhibit C.B.
H. County shall determine the final compensation to the Contractor based on the final audited 1 EXHIBIT D-Contract Budget Provider xxxxxx Scope of Service ####, xxxxxxxx 2 FY2010/2011 3 Annual Budget# of budget month> 12.00 EXPENDITURE Treatment Cost Report at the actual rate and the total compensation shall not exceed the maximum payable set forth Section III of this Agreement.Personnel Salaries Actual Averaged for Per Month mmm/yyyy 0.00 Year- to- Date Balance 7 8
Appears in 1 contract
Samples: Agreement for Mental Health Services
COST SETTLEMENT. A. If the Contractor provides mental health services as defined in CCR Title 9 (whether Medi-Cal or non-Medi-Cal), Contractor shall provide County a Certified Annual Mental Health Cost Report. Contractor shall certify and submit a Cost Report covering the preceding County
B. The Cost Report calculates the Cost per unit as the lowest of Actual Cost, Published Charge, and County fiscal year Maximum Allowance (CMA) or approved Negotiated Rate. If cost is MORE than the Negotiated Rate, the contractor will incur a loss, and if the Negotiated Rate is LESS than the cost, then the amount of July 1 through June 30, in a form satisfactory excess payment beyond cost must be returned to the Director County.
C. A Cost Report Settlement will be completed by County within a reasonable timeline and as prescribed by will be based on a comparison of the State allowed Medi-Cal reimbursement or other authorized non-billable services per unit in the Cost Reporting Data Collection Manual and Xxxxx-Xxxxx/Report compared to the payment per unit paid by the County. Payment will be required by County or Contractor within 60 days of Settlement or as otherwise mutually agreed.
D. Contractor will be subject to Medi-Cal cost or County Fiscal or Quality Assurance audits at any time. Contractor and County will each be responsible for any audit errors or omissions on their part. The annual State Department of Health Care Services/Federal Audit may not occur until five years after close of fiscal year and not be settled until all Audit appeals are completed/closed. Final Audit findings must be paid by County or Contractor within 60 days of final Audit report instructions. This Cost Report is due to the County no later than October 31 unless or as otherwise specified by the Director. In the event that this Agreement expires or is terminated on a date other than June 30, Contractor shall provide County such a Cost Report, covering the preceding period of July 1 through the date of expiration or termination no later than forty-five (45) days after the date of expiration or termination unless otherwise specified by the Directoragreed.
B. E. Contractor may use unaudited financial statements as the basis of cost information for completion of the Cost Report. Contractor will forward a copy of the unaudited financial statements to County along with the completed Cost Report.
C. F. Contractor shall provide the Certified Audited Financial Reports to the County as specified in Exhibit D, Section V.
G. This Cost Report is subject to examination and audit by County, State and/or Federal government, and their authorized representatives, to determine its compliance with this Agreement and any applicable laws and regulations.
D. H. County shall inform Contractor of any audit finding relevant to the Contractor. Contractor and County shall take any necessary actions to respond to, correct, and resolve the audit findings.
E. I. Should the County, State and/or Federal government, and their authorized representatives, disallow any paid goods and/or services, or determine that Contractor has misspent funds, or been overpaid based on the requirements of this Agreement and applicable laws and regulations, County shall demand repayment from Contractor for any amount determined disallowable.amount
F. J. Should the County, State and/or Federal government, and their authorized representatives, determine that Contractor’s actual expenses for goods and/or services provided under this Agreement are more than the compensation paid to Contractor by County, County shall reimburse the Contractor.
G. K. Method of repayment, either due from the County to Contractor or vice versa, is detailed in Exhibit C.
H. L. County shall determine the final compensation to the Contractor based on the final audited Cost Report at the actual rate and the total compensation shall not exceed the maximum payable set forth Section III of this Agreement.
Appears in 1 contract
Samples: Agreement for Mental Health Services
COST SETTLEMENT. A. If the Contractor provides mental health services as defined in CCR Title 9 (whether Medi-Cal or non-Medi-Cal), Contractor shall provide County a Certified Annual Mental Health Cost Report. Contractor shall certify and submit a Cost Report covering the preceding County fiscal year of July 1 through June 30, in a form satisfactory to the Director and as prescribed by the State in the Cost Reporting Data Collection Manual and Xxxxx-Xxxxx/Medi-Cal cost report instructions. This Cost Report is due to the County no later than October 31 unless otherwise specified by the Director. In the event that this Agreement expires or is terminated on a date other than June 30, Contractor shall provide County such a Cost Report, covering the preceding period of July 1 through the date of expiration or termination no later than forty-five (45) days after the date of expiration or termination unless otherwise specified by the Director.
B. Contractor may use unaudited financial statements as the basis of cost information for completion of the Cost Report. Contractor will forward a copy of the unaudited financial statements to County along with the completed Cost Report.. Contractor shall provide the Certified Audited Financial Reports to the County as specified in Exhibit D, Section V.
C. This Cost Report is subject to examination and audit by County, State and/or Federal government, and their authorized representatives, to determine its compliance with this Agreement and any applicable laws and regulations.
D. County shall inform Contractor of any audit finding relevant to the Contractor. Contractor and County shall take any necessary actions to respond to, correct, and resolve the audit findings.
E. Should the County, State and/or Federal government, and their authorized representatives, disallow any paid goods and/or services, or determine that Contractor has misspent funds, or been overpaid based on the requirements of this Agreement and applicable laws and regulations, County shall demand repayment from Contractor for any amount determined disallowable.
F. Should the County, State and/or Federal government, and their authorized representatives, determine that Contractor’s actual expenses for goods and/or services provided under this Agreement are more than the compensation paid to Contractor by County, County shall reimburse the Contractor.
G. Method of repayment, either due from the County to Contractor or vice versa, is detailed in Exhibit C.
H. County shall determine the final compensation to the Contractor based on the final audited Cost Report at the actual rate and the total compensation shall not exceed the maximum payable set forth Section III of this Agreement.. Contract maximum is based on the following estimated project budget: Scope of Service : Children & Youth Full Service Partnership Contract #: 2016-0126 FY 2015/2016 Salaries 130,042 16,255 Benefits 42,461 5,308 Operating Expenses 48,986 6,123 Client Services 250 31 Indirect Admin Costs (Non Treatment/Program) 28,261 3,533 County Contract 250,000 31,250 Personnel Details Position Title Budget FTE Director of Program Services 0.02 Budget Xxx & Ben1,637 Program Director 0.10 6,456 Clinical Director 0.10 5,358 Quality Manager 0.10 4,473 Therapist 2.00 67,925 Family Coordinator 1.00 51,813 Family Advocate 0.80 23,645 Program Support 0.25 6,756 Physician 0.02 4,440 Scope of Service : Children & Youth Full Service Partnership Contract #: 2016-0126 FY 2016/2017 Salaries 210,604 17,550 Benefits 67,386 5,616 Operating Expenses 51,682 4,307 Client Services 500 42 Indirect Admin Costs (Non Treatment/Program) 44,828 3,736 County Contract 375,000 31,250 Personnel Details Position Title Budget FTE Director of Program Services 0.02 Budget Xxx & Ben2,455 Program Director 0.10 9,684 Clinical Director 0.10 8,032 Quality Manager 0.10 6,684 Therapist 2.00 116,443 Family Coordinator 1.00 77,720 Family Advocate 0.80 35,468 Program Support 0.25 10,134 Physician 0.02 11,369 Assessment $2.75/minute Plan Development $2.75/minute Psychotherapy (30 Min) $2.75/minute Psychotherapy (45 Min) $2.75/minute Psychotherapy (60 Min) $2.75/minute Group Therapy $2.75/minute Targeted Case Management $2.13/minute Rehabilitation/ADL $2.75/minute Group Rehabilitation $2.75/minute Collateral $2.75/minute Crisis Intervention $2.75/minute Katie A-Intensive Care Coordination $2.13/minute Katie A-Intensive Home Based Services $2.13/minute E&M New Patient Office Visit: Level 1 Minimal Complexity $4.29/minute E&M New Patient Office Visit: Xxxxx 0 Xxxxx Xxxxxxx $4.29/minute E&M New Patient Office Visit: Xxxxx 0 Xxx Xxxxxxxx $4.29/minute E&M New Patient Office Visit: Xxxxx 0 Xxxxxxxx Xxxxxxxx $4.29/minute E&M New Patient Office Visit: Xxxxx 0 Xxxx Xxxxxxxx $4.29/minute E&M Established Patient Office Visit: Level 1 Minimal Complexity $4.29/minute E&M Established Patient Office Visit: Xxxxx 0 Xxxxx Xxxxxxx $4.29/minute E&M Established Patient Office Visit: Xxxxx 0 Xxx Xxxxxxxx $4.29/minute E&M Established Patient Office Visit: Xxxxx 0 Xxxxxxxx Xxxxxxxx $4.29/minute E&M Established Xxxxxxx Xxxxxx Xxxxx, Xxxxx 0 Xxxx Xxxxxxxx $4.29minute Medication Support-RN/LVN/LPT $4.29/minute Minimum productivity expectations for Medi-Cal/Billable units are: 1. Therapist #1 65% 2. Therapist #2 65% 3. Family Coordinator 65%
Appears in 1 contract
Samples: Agreement for Mental Health Services
COST SETTLEMENT. A. If the Contractor provides mental health alcohol and drug services as defined in CCR Title 9 (whether Medi-Cal or non-Medi-Cal), Contractor shall provide County a Certified Annual Mental Health Alcohol and Drug Cost Report. Contractor shall certify and submit a Cost Report covering the preceding County fiscal year of July 1 through June 30, in a form satisfactory to the Director and as prescribed by the State in the Cost Reporting Data Collection Manual and Xxxxx-Xxxxx/Medi-Medi- Cal cost report instructions. This Cost Report is due to the County no later than October 31 September 30 unless otherwise specified by the Director. In the event that this Agreement expires or is terminated on a date other than June 30, Contractor shall provide County such a Cost Report, covering the preceding period of July 1 through the date of expiration or termination no later than forty-five (45) days after the date of expiration or termination unless otherwise specified by the Director.
B. Contractor may use unaudited financial statements as the basis of cost information for completion of the Cost Report. Contractor will forward a copy of the unaudited financial statements to County along with the completed Cost Report.
C. This Cost Report is subject to examination and audit by County, State and/or Federal government, and their authorized representatives, to determine its compliance with this Agreement and any applicable laws and regulations.
D. County shall inform Contractor of any audit finding relevant to the Contractor. Contractor and County shall take any necessary actions to respond to, correct, and resolve the audit findings.
E. Should the County, State and/or Federal government, and their authorized representatives, disallow any paid goods and/or services, or determine that Contractor has misspent funds, or been overpaid based on the requirements of this Agreement and applicable laws and regulations, County shall demand repayment from Contractor for any amount determined disallowable.
F. Should the County, State and/or Federal government, and their authorized representatives, determine that Contractor’s actual expenses for goods and/or services provided under this Agreement are more than the compensation paid to Contractor by County, County shall reimburse the Contractor.
G. Method of repayment, either due from the County to Contractor or vice versa, is detailed in Exhibit C.
H. County shall determine the final compensation to the Contractor based on the final audited Cost Report at the actual rate and the total compensation shall not exceed the maximum payable set forth Section III of this Agreement.
Appears in 1 contract
