Common use of Funding Assurances Clause in Contracts

Funding Assurances. A. Office of Management & Budget (OMB) Super Circular as defined in 2CFR 200 provides specific guidelines of allowable and unallowable costs, and what can be charged to the federal government under a federal award and for any state funds combined with these funds. Compliance with these circulars is required for all award recipients and compliance testing is a component of the agency’s CPA audit. The Network Provider, as a recipient of federal and state funds, to verify and ensure all funds requested are allowable. For more information, see 2 CFR 200 and Attachment C-Federal Block Grant Requirements. B. The Network Provider agrees to provide an accounting to Region V for all sources and expenditures of funds for any service(s) reimbursed by Region V and DHHS, as outlined in this Contract (Attachment A), for the duration stated herein. 1. Such accountability shall include separate accounting for MH and SUD services, and any reports, audits, program reviews, documents, or papers of a financial nature which DHHS or the Region requires or may request. 2. The Network Provider shall maintain separate accounting of fund sources used to pay for MH services and the fund sources used to pay for SUD services. Records shall be available for inspection by authorized representatives of Region V, DHHS, or the Federal government, upon request with the express understanding that any inspection will comply with Federal and state laws and regulations regarding confidentiality. C. The Network Provider agrees that income received by the Network Provider from charges for services provided under this Contract shall remain in the account of the Network Provider and shall be used for the provision of services. D. The Network Provider agrees that the funds under this Contract are intended for the provision of BH services and related administrative services as specified in the contract; therefore, funds received under the terms of this Contract shall not be used to litigate legal actions against Region V, DHHS or the state. E. Reimbursement from all sources shall not exceed the cost of services for services funded NFFS. F. The Network Provider shall not xxxx for services when a signed copy of a subcontract has not been provided to Region V by September 28, 2021. G. The Network Provider shall ensure that all Federal funds paid to the Provider are clearly identified as such, including the specific source and amount. These funds must be clearly identified in providers’ accounting records as being Federal funds by source and audited appropriately. H. The Network Provider shall ensure that funds are not used to supplant current funding of existing activities. Supplant means to replace funding of a recipient’s existing program with funds from a Federal grant. I. The Network Provider agrees to only submit xxxxxxxx for services provided to individuals who meet the Clinical Criteria for an identified level of care and the Financial Eligibility Criteria set by DHHS Title 206 Behavioral Health Services Regulation, Region V, or other documents incorporated by reference. The Network Provider agrees to deduct copayments from consumers and other third- party payments received for the service prior to billing any service paid on an expense reimbursement basis. If the expense reimbursement billed is a Capacity Access Guarantee (CAG), Capacity Development (CD), Service Enhancement (SE), or Pilot Project for a service paid on a Region or State rate, the provider must apply any excess funds generated by the primary service against the CAG, CD, SE, or Pilot Project prior to billing. If the expense reimbursement billed is a rate enhancement, Capacity Development (CD) or Service Enhancement (SE) for a service paid at a Region or State rate, the provider must apply all revenues received or generated from all sources by the primary service against the rate enhancement, CD, or SE prior to billing. J. The Network Provider agrees to actively monitor for Medicaid eligible individuals using an appropriate electronic system. The Network Provider will not submit reimbursement requests for services for any Medicaid eligible individual receiving Medicaid eligible services. The Network Provider may xxxx for all SUD units of service for persons who are Medicaid Fee for Service (FFS) non-managed care who do not have a Share of Cost. Individuals meeting this criterion must be entered into CDS and services documented as appropriate. If the service is a covered benefit, a provider may not xxxx for persons who are on a Share of Cost and have not met their individual obligation under any circumstance. The provider must retain the Medicaid denial form(s) in the consumer file. The Region will check this documentation to ensure no payment is being requested or made for a denial of Medicaid due to Share of Cost. K. The Network Provider agrees that no more than 15% of funds may be used for indirect expenses/costs unless the provider has a federally approved cost rate. L. The Network Provider agrees that at no time will compensation or payment of any kind be provided in advance of services performed. M. The Network Provider will ensure that any correspondence submitted to Region V or DHHS reflects the appropriate service names as identified in the DBH Electronic Billing System (EBS) and CDS. N. The Network Provider is eligible for reimbursement for post-commitment days as outlined in Attachment E.

Funding Assurances. A. Office of Management & Budget (OMB) Super Circular as defined in 2CFR 200 provides specific guidelines of allowable and unallowable costs, and what can be charged to the federal government under a federal award and for any state funds combined with these funds. Compliance with these circulars is required for all award recipients and compliance testing is a component of the agency’s CPA audit. The Network Provider, as a recipient of federal and state funds, to verify and ensure all funds requested are allowable. For more information, see 2 CFR 200 and Attachment C-Federal Block Grant Requirements. B. The Network Provider agrees to provide an accounting to Region V for all sources and expenditures of funds for any service(s) reimbursed by Region V and DHHS, as outlined in this Contract (Attachment A), for the duration stated herein. 1. Such accountability shall include separate accounting for MH and SUD services, and any reports, audits, program reviews, documents, or papers of a financial nature which DHHS or the Region requires or may request. 2. The Network Provider shall maintain separate accounting of fund sources used to pay for MH services and the fund sources used to pay for SUD services. Records shall be available for inspection by authorized representatives of Region V, DHHS, or the Federal government, upon request with the express understanding that any inspection will comply with Federal and state laws and regulations regarding confidentiality. C. The Network Provider agrees that income received by the Network Provider from charges for services provided under this Contract shall remain in the account of the Network Provider and shall be used for the provision of services. D. The Network Provider agrees that the funds under this Contract are intended for the provision of BH services and related administrative services as specified in the contract; therefore, funds received under the terms of this Contract shall not be used to litigate legal actions against Region V, DHHS or the state. E. Reimbursement from all sources shall not exceed the cost of services for services funded NFFSservices. F. The Network Provider shall not xxxx bill for services when a signed copy of a subcontract has not been provided to Region V by September 2827, 20212020. G. The Network Provider shall ensure that all Federal funds paid to the Provider are clearly identified as such, including the specific source and amount. These funds must be clearly identified in providers’ accounting records as being Federal funds by source and audited appropriately. H. The Network Provider shall ensure that funds are not used to supplant current funding of existing activities. Supplant means to replace funding of a recipient’s existing program with funds from a Federal grant. I. The Network Provider agrees to only submit xxxxxxxx for services provided to individuals who meet the Clinical Criteria for an identified level of care and the Financial Eligibility Criteria set by DHHS Title 206 Behavioral Health Services Regulation, Region V, or other documents incorporated by reference. The Network Provider agrees to deduct copayments from consumers and other third- party payments received for the service prior to billing any service paid on an expense reimbursement basis. If the expense reimbursement billed is a Capacity Access Guarantee (CAG), Capacity Development (CD), Service Enhancement (SE), or Pilot Project for a service paid on a Region or State rate, the provider must apply any excess funds generated by the primary service against the CAG, CD, SE, or Pilot Project prior to billing. If the expense reimbursement billed is a rate enhancement, Capacity Development (CD) or Service Enhancement (SE) for a service paid at a Region or State rate, the provider must apply all revenues received or generated from all sources by the primary service against the rate enhancement, CD, or SE prior to billing. J. The Network Provider agrees to actively monitor for Medicaid eligible individuals using an appropriate electronic system. The Network Provider will not submit reimbursement requests for services for any Medicaid eligible individual receiving Medicaid eligible services. The Network Provider may xxxx bill for all SUD units of service for persons who are Medicaid Fee for Service (FFS) non-managed care who do not no t have a Share of Cost. Individuals meeting this criterion must be entered into CDS and services documented as appropriate. If the service is a covered benefit, a provider may not xxxx bill for persons who are on a Share of Cost and have not met their individual obligation under any circumstance. The provider must retain the Medicaid denial form(s) in the consumer file. The Region will check this documentation to ensure no payment is being requested or made for a denial of Medicaid due to Share of Cost. K. The Network Provider agrees that no more than 15% of funds may be used for indirect expenses/costs unless the provider has a federally approved cost rate. L. The Network Provider agrees that at no time will compensation or payment of any kind be provided in advance of services performed. M. The Network Provider will ensure that any correspondence submitted to Region V or DHHS reflects the appropriate service names as identified in the DBH Electronic Billing System (EBS) and CDS. N. The Network Provider is eligible for reimbursement for post-commitment days as outlined o utlined in Attachment E.

Funding Assurances. A. Office of Management & Budget (OMB) Super Circular as defined in 2CFR 200 provides specific guidelines of allowable and unallowable costs, and what can be charged to the federal government under a federal award and for any state funds combined with these funds. Compliance with these circulars is required for all award recipients and compliance testing is a component of the agency’s CPA audit. The Network Provider, as a recipient of federal and state funds, to verify and ensure all funds requested are allowable. For more information, see 2 CFR 200 and Attachment C-Federal Block Grant Requirements. B. The Network Provider agrees to provide an accounting to Region V for all sources and expenditures of funds for any service(s) reimbursed by Region V and DHHS, as outlined in this Contract (Attachment A), for the duration stated herein. 1. Such accountability shall include separate accounting for MH and SUD services, and any reports, audits, program reviews, documents, or papers of a financial nature which DHHS or the Region requires or may request. 2. The Network Provider shall maintain separate accounting of fund sources used to pay for MH services and the fund sources used to pay for SUD services. Records shall be available for inspection by authorized representatives of Region V, DHHS, or the Federal federal government, upon request with the express understanding that any inspection will comply with Federal federal and state laws and regulations regarding confidentiality. C. The Network Provider agrees that income received by the Network Provider from charges for services provided under this Contract shall remain in the account of the Network Provider and shall be used for the provision of services. D. The Network Provider agrees that the funds under this Contract are intended for the provision of BH services and related administrative services as specified in the contract; therefore, funds received under the terms of this Contract shall not be used to litigate legal actions against Region V, DHHS or the state. E. Reimbursement from all sources shall not exceed the cost of services for services funded NFFS. F. The Network Provider shall not xxxx bill for services when a signed copy of a subcontract has not been provided to Region V by September 28, 20212023. G. The Network Provider shall ensure that all Federal federal funds paid to the Provider are clearly identified as such, including the specific source and amount. These funds must be clearly identified in providers’ accounting records as being Federal federal funds by source and audited appropriately. H. The Network Provider shall ensure that funds are not used to supplant current funding of existing activities. Supplant means to replace funding of a recipient’s existing program with funds from a Federal federal grant. I. The Network Provider agrees to only submit xxxxxxxx for services provided to individuals who meet the Clinical Criteria for an identified level of care and the Financial Eligibility Criteria set by DHHS Title 206 Behavioral Health Services Regulation, Region V, or other documents incorporated by reference. The Network Provider agrees to deduct copayments from consumers and other third- party payments received for the service prior to billing any service paid on an expense reimbursement basis. If the expense reimbursement billed is a Capacity Access Guarantee (CAG), Capacity Development (CD), Service Enhancement (SE), or Pilot Project for a service paid on a Region or State rate, the provider must apply any excess funds generated by the primary service against the CAG, CD, SE, or Pilot Project prior to billing. If the expense reimbursement billed is a rate enhancement, Capacity Development (CD) or Service Enhancement (SE) for a service paid at a Region or State rate, the provider must apply all revenues received or generated from all sources by the primary service against the rate enhancement, CD, or SE prior to billing. J. The Network Provider agrees to actively monitor for Medicaid eligible individuals using an appropriate electronic system. The Network Provider will not submit reimbursement requests for services for any Medicaid eligible individual receiving Medicaid eligible services. The Network Provider may xxxx bill for all SUD units of service for persons who are Medicaid Fee for Service (FFS) non-managed care who do not have a Share of Cost. Individuals meeting this criterion must be entered into CDS and services documented as appropriate. If the service is a covered benefit, a provider may not xxxx bill for persons who are on a Share of Cost and have not met their individual obligation under any circumstance. The provider must retain the Medicaid denial form(s) in the consumer file. The Region will check this documentation to ensure no payment is being requested or made for a denial of Medicaid due to Share of Cost. K. The Network Provider agrees that no more than 15% of funds may be used for indirect expenses/costs unless the provider has a federally approved cost rate. L. The Network Provider agrees that at no time will compensation or payment of any kind be provided in advance of services performed. M. The Network Provider will ensure that any correspondence submitted to Region V or DHHS reflects the appropriate service names as identified in the DBH Electronic Billing System (EBS) and CDS.) N. The Network Provider is eligible for reimbursement for post-commitment days as outlined in Attachment E.J.

Funding Assurances. A. Office of Management & Budget (OMB) Super Circular as defined in 2CFR 200 provides specific guidelines of allowable and unallowable costs, and what can be charged to the federal government under a federal award and for any state funds combined with these funds. Compliance with these circulars is required for all award recipients and compliance testing is a component of the agency’s CPA audit. The Network Provider, as a recipient of federal and state funds, to verify and ensure all funds requested are allowable. For more information, see 2 CFR 200 and Attachment C-Federal Block Grant Requirements. B. The Network Provider agrees to provide an accounting to Region V for all sources and expenditures of funds for any service(s) reimbursed by Region V and DHHS, as outlined in this Contract (Attachment A), for the duration stated herein. 1. Such accountability shall include separate accounting for MH and SUD services, and any reports, audits, program reviews, documents, or papers of a financial nature which DHHS or the Region requires or may request. 2. The Network Provider shall maintain separate accounting of fund sources used to pay for MH services and the fund sources used to pay for SUD services. Records shall be available for inspection by authorized representatives of Region V, DHHS, or the Federal government, upon request with the express understanding that any inspection will comply with Federal and state laws and regulations regarding confidentiality. C. The Network Provider agrees that income received by the Network Provider from charges for services provided under this Contract shall remain in the account of the Network Provider and shall be used for the provision of services. D. The Network Provider agrees that the funds under this Contract are intended for the provision of BH behavioral health services and related administrative services as specified in the contract; therefore, funds received under the terms of this Contract shall not be used to litigate legal actions against Region V, DHHS or the state. E. Reimbursement from all sources shall not exceed the cost of services for services funded NFFSservices. F. The Network Provider shall not xxxx bill for services when a signed copy of a subcontract has not been provided to Region V by September 2827, 20212019. G. The Network Provider shall ensure that all Federal funds paid to the Provider are clearly identified as such, including the specific source and amount. These funds must be clearly identified in providers’ accounting records as being Federal funds by source and audited appropriately. H. The Network Provider shall ensure that funds are not used to supplant current funding of existing activities. Supplant means to replace funding of a recipient’s existing program with funds from a Federal grant. I. The Network Provider agrees to only submit xxxxxxxx billings for services provided to individuals who meet the Clinical Criteria for an identified level of and care and the Financial Eligibility Criteria set by DHHS Title 206 Behavioral Health Services Regulation, and Region V, or other documents incorporated by reference. V. The Network Provider agrees to deduct copayments from consumers and other third- third-party payments received for the service prior to billing any service paid on an expense reimbursement basis. If the expense expenses reimbursement billed is a Capacity Access Guarantee (CAG), Capacity Development (CD), Service Enhancement (SE), or Pilot Project for a service paid on a Region or State rate, the provider must apply any excess funds generated by the primary service against the CAG, CD, SE, or Pilot Project prior to billing. If the expense reimbursement billed is a rate enhancement, Capacity Development (CD) or Service Enhancement (SE) for a service paid at a Region or State rate, the provider must apply all revenues received or generated from all sources by the primary service against the rate enhancement, CD, or SE prior to billing. J. X. The Network Provider agrees to be actively monitor monitoring for Medicaid eligible individuals using an appropriate electronic system. The Network Provider will not submit reimbursement requests for services for any Medicaid eligible individual receiving Medicaid eligible services. The Network Provider may xxxx bill for all SUD substance abuse units of service for persons who are Medicaid Fee for Service (FFS) non-managed care who do not have a Share of Cost. Individuals meeting this criterion must be entered into CDS and services documented as appropriate. If the service is a covered benefit, a provider may not xxxx bill for persons who are on a Share of Cost and have not met their individual obligation under any circumstance. The provider must retain the Medicaid denial form(s) in the consumer file. The Region will check this documentation to ensure no payment is being requested or made for a denial of Medicaid due to Share of Cost. K. The Network Provider agrees that no more than 15% of funds may be used for indirect expenses/costs unless the provider has a federally approved cost rate. L. The Network Provider agrees that at no time will compensation or payment of any kind be provided in advance of services performed. actually performed M. The Network Provider will ensure that any correspondence submitted to Region V or DHHS reflects the appropriate service names as identified in the DBH Electronic Billing System (EBS) and Centralized Data System (CDS). N. The Network Provider is eligible for reimbursement for post-commitment days as outlined in Attachment E.

Funding Assurances. A. Office of Management & Budget (OMB) Super Circular as defined in 2CFR 200 provides specific guidelines of allowable and unallowable costs, and what can be charged to the federal government under a federal award and for any state funds combined with these funds. Compliance with these circulars is required for all award recipients and compliance testing is a component of the agency’s CPA audit. The Network Provider, as a recipient of federal and state funds, to verify and ensure all funds requested are allowable. For more information, see 2 CFR 200 and Attachment C-Federal Block Grant Requirements. B. The Network Provider agrees to provide an accounting to Region V for all sources and expenditures of funds for any service(s) reimbursed by Region V and DHHS, as outlined in this Contract (Attachment A), for the duration stated herein. 1. Such accountability shall include separate accounting for MH and SUD services, and any reports, audits, program reviews, documents, or papers of a financial nature which DHHS or the Region requires or may request. 2. The Network Provider shall maintain separate accounting of fund sources used to pay for MH services and the fund sources used to pay for SUD services. Records shall be available for inspection by authorized representatives of Region V, DHHS, or the Federal federal government, upon request with the express understanding that any inspection will comply with Federal federal and state laws and regulations regarding confidentiality. C. The Network Provider agrees that income received by the Network Provider from charges for services provided under this Contract shall remain in the account of the Network Provider and shall be used for the provision of services. D. The Network Provider agrees that the funds under this Contract are intended for the provision of BH services and related administrative services as specified in the contract; therefore, funds received under the terms of this Contract shall not be used to litigate legal actions against Region V, DHHS or the state. E. Reimbursement from all sources shall not exceed the cost of services for services funded NFFS. F. The Network Provider shall not xxxx bill for services when a signed copy of a subcontract has not been provided to Region V by September 28, 20212022. G. The Network Provider shall ensure that all Federal federal funds paid to the Provider are clearly identified as such, including the specific source and amount. These funds must be clearly identified in providers’ accounting records as being Federal federal funds by source and audited appropriately. H. The Network Provider shall ensure that funds are not used to supplant current funding of existing activities. Supplant means to replace funding of a recipient’s existing program with funds from a Federal federal grant. I. The Network Provider agrees to only submit xxxxxxxx for services provided to individuals who meet the Clinical Criteria for an identified level of care and the Financial Eligibility Criteria set by DHHS Title 206 Behavioral Health Services Regulation, Region V, or other documents incorporated by reference. The Network Provider agrees to deduct copayments from consumers and other third- party payments received for the service prior to billing any service paid on an expense reimbursement basis. If the expense reimbursement billed is a Capacity Access Guarantee (CAG), Capacity Development (CD), Service Enhancement (SE), or Pilot Project for a service paid on a Region or State rate, the provider must apply any excess funds generated by the primary service against the CAG, CD, SE, or Pilot Project prior to billing. If the expense reimbursement billed is a rate enhancement, Capacity Development (CD) or Service Enhancement (SE) for a service paid at a Region or State rate, the provider must apply all revenues received or generated from all sources by the primary service against the rate enhancement, CD, or SE prior to billing. J. The Network Provider agrees to actively monitor for Medicaid eligible individuals using an appropriate electronic system. The Network Provider will not submit reimbursement requests for services for any Medicaid eligible individual receiving Medicaid eligible services. The Network Provider may xxxx bill for all SUD units of service for persons who are Medicaid Fee for Service (FFS) non-managed care who do not have a Share of Cost. Individuals meeting this criterion must be entered into CDS and services documented as appropriate. If the service is a covered benefit, a provider may not xxxx bill for persons who are on a Share of Cost and have not met their individual obligation under any circumstance. The provider must retain the Medicaid denial form(s) in the consumer file. The Region will check this documentation to ensure no payment is being requested or made for a denial of Medicaid due to Share of Cost. K. The Network Provider agrees that no more than 15% of funds may be used for indirect expenses/costs unless the provider has a federally approved cost rate. L. The Network Provider agrees that at no time will compensation or payment of any kind be provided in advance of services performed. M. The Network Provider will ensure that any correspondence submitted to Region V or DHHS reflects the appropriate service names as identified in the DBH Electronic Billing System (EBS) and CDS. N. The Network Provider is eligible for reimbursement for post-commitment days as outlined in Attachment E.