Common use of REVENUE Clause in Contracts

REVENUE. 12 A. CLIENT FEES – CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a fee to 13 clients to whom billable services, other than those amounts reimbursed by Medicare, Medi-Cal or other 14 third party health plans, are provided pursuant to this Agreement, their estates and responsible relatives, 15 according to their ability to pay as determined by the State Department of Health Care Services’ 16 “Uniform Method of Determining Ability to Pay” (UMDAP) procedure or by any other payment 17 procedure as approved in advance, and in writing by ADMINISTRATOR; and in accordance with Title 18 9 of the California Code of Regulations. Such fee shall not exceed the actual cost of services provided. 19 No client shall be denied services because of an inability to pay. 20 B. THIRD-PARTY REVENUE – CONTRACTOR shall make every reasonable effort to obtain all 21 available third-party reimbursement for which persons served pursuant to this Agreement may be 22 eligible. Charges to insurance carriers shall be on the basis of CONTRACTOR’s usual and customary 23 charges. 24 C. PROCEDURES – CONTRACTOR shall maintain internal financial controls which adequately 25 ensure proper billing and collection procedures. CONTRACTOR’s procedures shall specifically 26 provide for the identification of delinquent accounts and methods for pursuing such accounts. 27 CONTRACTOR shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 status of fees which are billed, collected, transferred to a collection agency, or deemed by 29 CONTRACTOR to be uncollectible. 30 D. OTHER REVENUES – CONTRACTOR shall charge for services, supplies, or facility use by 31 persons other than individuals or groups eligible for services pursuant to this Agreement. 32

REVENUE. 12 33 A. CLIENT FEES – CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a fee to 13 clients 34 Clients to whom billable services, other than those amounts reimbursed by Medicare, Medi-Cal or other 14 35 third party health plans, are provided pursuant to this AgreementContract, their estates and responsible relatives, 15 36 according to their ability to pay as determined by the State Department of Health Care Services’ 16 37 “Uniform Method of Determining Ability to Pay” (UMDAP) procedure or by any other payment 17 1 procedure as approved in advance, and in writing by ADMINISTRATOR; and in accordance with Title 18 2 9 of the California Code of Regulations. Such fee shall not exceed the actual cost of services provided. 19 3 No client Client shall be denied services because of an inability to pay. 20 4 B. THIRD-PARTY REVENUE – CONTRACTOR shall make every reasonable effort to obtain all 21 5 available third-party reimbursement for which persons served pursuant to this Agreement Contract may be 22 eligible. 6 Charges to insurance carriers shall be on the basis of CONTRACTOR’s usual and customary 23 charges. 24 7 C. PROCEDURES – CONTRACTOR shall maintain internal financial controls which adequately 25 8 ensure proper billing and collection procedures. CONTRACTOR’s procedures shall specifically 26 provide 9 for the identification of delinquent accounts and methods for pursuing such accounts. 27 CONTRACTOR 10 shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 status of fees which 11 are billed, collected, transferred to a collection agency, or deemed by 29 CONTRACTOR to be 12 uncollectible. 30 13 D. OTHER REVENUES – CONTRACTOR shall charge for services, supplies, or facility use by 31 14 persons other than individuals or groups eligible for services pursuant to this AgreementContract. 3215

REVENUE. 12 2 A. CLIENT FEES – CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a fee to 13 clients 3 Clients to whom billable services, other than those amounts reimbursed by Medicare, Medi-Cal or other 14 4 third party health plans, are provided pursuant to this Agreement, their estates and responsible relatives, 15 5 according to their ability to pay as determined by the State Department of Health Care Services’ 16 6 “Uniform Method of Determining Ability to Pay” (UMDAP) procedure or by any other payment 17 7 procedure as approved in advance, and in writing by ADMINISTRATOR; and in accordance with Title 18 8 9 of the California Code of Regulations. Such fee shall not exceed the actual cost of services provided. 19 9 No client Client shall be denied services because of an inability to pay. 20 10 B. THIRD-PARTY REVENUE – CONTRACTOR shall make every reasonable effort to obtain all 21 11 available third-party reimbursement for which persons served pursuant to this Agreement may be 22 12 eligible. Charges to insurance carriers shall be on the basis of CONTRACTOR’s usual and customary 23 13 charges. 24 14 C. PROCEDURES – CONTRACTOR shall maintain internal financial controls which adequately 25 15 ensure proper billing and collection procedures. CONTRACTOR’s procedures shall specifically 26 provide 16 for the identification of delinquent accounts and methods for pursuing such accounts. 27 CONTRACTOR 17 shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 status of fees which 18 are billed, collected, transferred to a collection agency, or deemed by 29 CONTRACTOR to be 19 uncollectible. 30 20 D. OTHER REVENUES – CONTRACTOR shall charge for services, supplies, or facility use by 31 21 persons other than individuals or groups eligible for services pursuant to this Agreement. 3222

REVENUE. 12 13 A. CLIENT FEES – CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a fee to 13 14 clients to whom billable services, other than those amounts reimbursed by Medicare, Medi-Cal or other 14 15 third party health plans, are provided pursuant to this Agreement, their estates and responsible relatives, 15 16 according to their ability to pay as determined by the State Department of Health Care Services’ 16 17 “Uniform Method of Determining Ability to Pay” (UMDAP) procedure or by any other payment 17 18 procedure as approved in advance, and in writing by ADMINISTRATOR; and in accordance with Title 18 19 9 of the California Code of Regulations. Such fee shall not exceed the actual cost of services provided. 19 20 No client shall be denied services because of an inability to pay. 20 21 B. THIRD-PARTY REVENUE – CONTRACTOR shall make every reasonable effort to obtain all 21 22 available third-party reimbursement for which persons served pursuant to this Agreement may be 22 23 eligible. Charges to insurance carriers shall be on the basis of CONTRACTOR’s usual and customary 23 24 charges. 24 25 C. PROCEDURES – CONTRACTOR shall maintain internal financial controls which adequately 25 26 ensure proper billing and collection procedures. CONTRACTOR’s procedures shall specifically 26 27 provide for the identification of delinquent accounts and methods for pursuing such accounts. 27 28 CONTRACTOR shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 29 status of fees which are billed, collected, transferred to a collection agency, or deemed by 29 30 CONTRACTOR to be uncollectible. 30 31 D. OTHER REVENUES – CONTRACTOR shall charge for services, supplies, or facility use by 31 32 persons other than individuals or groups eligible for services pursuant to this Agreement. 3233

REVENUE. 12 10 A. CLIENT FEES – CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a fee to 13 11 clients to whom billable services, other than those amounts reimbursed by Medicare, Medi-Cal or other 14 12 third party health plans, are provided pursuant to this Agreement, their estates and responsible relatives, 15 13 according to their ability to pay as determined by the State Department of Health Care Services’ 16 14 “Uniform Method of Determining Ability to Pay” (UMDAP) procedure or by any other payment 17 15 procedure as approved in advance, and in writing by ADMINISTRATOR; and in accordance with Title 18 16 9 of the California Code of Regulations. Such fee shall not exceed the actual cost of services provided. 19 17 No client shall be denied services because of an inability to pay. 20 18 B. THIRD-PARTY REVENUE – CONTRACTOR shall make every reasonable effort to obtain all 21 19 available third-party reimbursement for which persons served pursuant to this Agreement may be 22 20 eligible. Charges to insurance carriers shall be on the basis of CONTRACTOR’s usual and customary 23 21 charges. 24 22 C. PROCEDURES – CONTRACTOR shall maintain internal financial controls which adequately 25 23 ensure proper billing and collection procedures. CONTRACTOR’s procedures shall specifically 26 24 provide for the identification of delinquent accounts and methods for pursuing such accounts. 27 25 CONTRACTOR shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 26 status of fees which are billed, collected, transferred to a collection agency, or deemed by 29 27 CONTRACTOR to be uncollectible. 30 28 D. OTHER REVENUES – CONTRACTOR shall charge for services, supplies, or facility use by 31 29 persons other than individuals or groups eligible for services pursuant to this Agreement. 3230

REVENUE. 12 7 A. CLIENT FEES – CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a fee to 13 8 clients to whom billable services, other than those amounts reimbursed by Medicare, Medi-Cal or other 14 9 third party health plans, are provided pursuant to this Agreement, their estates and responsible relatives, 15 10 according to their ability to pay as determined by the State Department of Health Care Services’ 16 11 “Uniform Method of Determining Ability to Pay” (UMDAP) procedure or by any other payment 17 12 procedure as approved in advance, and in writing by ADMINISTRATOR; and in accordance with Title 18 13 9 of the California Code of Regulations. Such fee shall not exceed the actual cost of services provided. 19 14 No client shall be denied services because of an inability to pay. 20 15 B. THIRD-PARTY REVENUE – CONTRACTOR shall make every reasonable effort to obtain all 21 16 available third-party reimbursement for which persons served pursuant to this Agreement may be 22 17 eligible. Charges to insurance carriers shall be on the basis of CONTRACTOR’s usual and customary 23 18 charges. 24 19 C. PROCEDURES – CONTRACTOR shall maintain internal financial controls which adequately 25 20 ensure proper billing and collection procedures. CONTRACTOR’s procedures shall specifically 26 21 provide for the identification of delinquent accounts and methods for pursuing such accounts. 27 22 CONTRACTOR shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 23 status of fees which are billed, collected, transferred to a collection agency, or deemed by 29 24 CONTRACTOR to be uncollectible. 30 25 D. OTHER REVENUES – CONTRACTOR shall charge for services, supplies, or facility use by 31 26 persons other than individuals or groups eligible for services pursuant to this Agreement. 3227

REVENUE. 12 2 A. CLIENT FEES – CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a fee to 13 clients 3 Clients to whom billable services, other than those amounts reimbursed by Medicare, Medi-Cal or other 14 4 third party health plans, are provided pursuant to this Agreement, their estates and responsible relatives, 15 5 according to their ability to pay as determined by the State Department of Health Care Services’ 16 6 “Uniform Method of Determining Ability to Pay” (UMDAP) procedure or by any other payment 17 procedure as 7 approved in advance, and in writing by ADMINISTRATOR; and in accordance with Title 18 9 of the California Code of RegulationsCCR. 8 Such fee shall not exceed the actual cost of services provided. 19 No client Client shall be denied services 9 because of an inability to pay. 20 10 B. THIRD-PARTY REVENUE – CONTRACTOR shall make every reasonable effort to obtain all 21 11 available third-party reimbursement for which persons served pursuant to this Agreement may be 22 12 eligible. Charges to insurance carriers shall be on the basis of CONTRACTOR’s usual and customary 23 13 charges. 24 14 C. PROCEDURES – CONTRACTOR shall maintain internal financial controls which adequately 25 15 ensure proper billing and collection procedures. CONTRACTOR’s procedures shall specifically 26 16 provide for the identification of delinquent accounts and methods for pursuing such accounts. 27 17 CONTRACTOR shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 18 status of fees which are billed, collected, transferred to a collection agency, or deemed by 29 19 CONTRACTOR to be uncollectible. 30 20 D. OTHER REVENUES – CONTRACTOR shall charge for services, supplies, or facility use by 31 21 persons other than individuals or groups eligible for services pursuant to this Agreement. 3222

REVENUE. 12 8 A. CLIENT FEES – CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a 9 fee to 13 clients Clients to whom billable services, other than those amounts reimbursed by Medicare, Medi-Cal or 10 other 14 third party health plans, are provided pursuant to this AgreementContract, their estates and responsible 11 relatives, 15 according to their ability to pay as determined by the State Department of Health Care 12 Services’ 16 “Uniform Method of Determining Ability to Pay” (UMDAP) procedure or by any other payment 17 13 procedure as approved in advance, and in writing by ADMINISTRATOR; and in accordance with Title 18 14 9 of the California Code of RegulationsCCR. Such fee shall not exceed the actual cost of services provided. 19 No client Client shall be denied 15 services because of an inability to pay. 20 16 B. THIRD-PARTY REVENUE – CONTRACTOR shall make every reasonable effort to obtain all 21 17 available third-party reimbursement for which persons served pursuant to this Agreement Contract may be 22 eligible. 18 Charges to insurance carriers shall be on the basis of CONTRACTOR’s usual and customary 23 charges. 24 19 C. PROCEDURES – CONTRACTOR shall maintain internal financial controls which adequately 25 20 ensure proper billing and collection procedures. CONTRACTOR’s procedures shall specifically 26 provide 21 for the identification of delinquent accounts and methods for pursuing such accounts. 27 CONTRACTOR 22 shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 status of fees which 23 are billed, collected, transferred to a collection agency, or deemed by 29 CONTRACTOR to be 24 uncollectible. 30 25 D. OTHER REVENUES – CONTRACTOR shall charge for services, supplies, or facility use by 31 26 persons other than individuals or groups eligible for services pursuant to this AgreementContract. 3227

REVENUE. 12 33 A. CLIENT FEES – CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a fee to 13 clients 34 Clients to whom billable services, other than those amounts reimbursed by Medicare, Medi-Cal or other 14 35 third party health plans, are provided pursuant to this Agreement, their estates and responsible relatives, 15 36 according to their ability to pay as determined by the State Department of Health Care Services’ 16 37 “Uniform Method of Determining Ability to Pay” (UMDAP) procedure or by any other payment 17 1 procedure as approved in advance, and in writing by ADMINISTRATOR; and in accordance with Title 18 9 2 of the California Code of Regulations. Such fee shall not exceed the actual cost of services provided. 19 3 No client Client shall be denied services because of an inability to pay. 20 4 B. THIRD-PARTY REVENUE – CONTRACTOR shall make every reasonable effort to obtain all 21 5 available third-party reimbursement for which persons served pursuant to this Agreement may be 22 6 eligible. Charges to insurance carriers shall be on the basis of CONTRACTOR’s usual and customary 23 7 charges. 24 8 C. PROCEDURES – CONTRACTOR shall maintain internal financial controls which adequately 25 9 ensure proper billing and collection procedures. CONTRACTOR’s procedures shall specifically 26 provide 10 for the identification of delinquent accounts and methods for pursuing such accounts. 27 CONTRACTOR 11 shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 status of fees which 12 are billed, collected, transferred to a collection agency, or deemed by 29 CONTRACTOR to be 13 uncollectible. 30 D. OTHER REVENUES – CONTRACTOR shall charge for services, supplies, or facility use by 31 persons other than individuals or groups eligible for services pursuant to this Agreement. 3214

REVENUE. 12 34 A. CLIENT FEES – CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a fee to 13 35 clients to whom billable services, other than those amounts reimbursed by Medicare, Medi-Cal or other 14 36 third party health plans, are provided pursuant to this Agreement, their estates and responsible relatives, 15 37 according to their ability to pay as determined by the State Department of Health Care Services’ 16 1 “Uniform Method of Determining Ability to Pay” (UMDAP) procedure or by any other payment 17 2 procedure as approved in advance, and in writing by ADMINISTRATOR; and in accordance with Title 18 3 9 of the California Code of Regulations. Such fee shall not exceed the actual cost of services provided. 19 4 No client shall be denied services because of an inability to pay. 20 5 B. THIRD-PARTY REVENUE – CONTRACTOR shall make every reasonable effort to obtain all 21 6 available third-party reimbursement for which persons served pursuant to this Agreement may be 22 7 eligible. Charges to insurance carriers shall be on the basis of CONTRACTOR’s usual and customary 23 8 charges. 24 9 C. PROCEDURES – CONTRACTOR shall maintain internal financial controls which adequately 25 10 ensure proper billing and collection procedures. CONTRACTOR’s procedures shall specifically 26 11 provide for the identification of delinquent accounts and methods for pursuing such accounts. 27 12 CONTRACTOR shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 13 status of fees which are billed, collected, transferred to a collection agency, or deemed by 29 14 CONTRACTOR to be uncollectible. 30 15 D. OTHER REVENUES – CONTRACTOR shall charge for services, supplies, or facility use by 31 16 persons other than individuals or groups eligible for services pursuant to this Agreement. 3217

REVENUE. 12 17 A. CLIENT FEES – CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a fee to 13 18 clients to whom billable services, other than those amounts reimbursed by Medicare, Medi-Cal or other 14 19 third party health plans, are provided pursuant to this Agreement, their estates and responsible relatives, 15 20 according to their ability to pay as determined by the State Department of Health Care Services’ 16 “Uniform Method of Determining Ability to Pay” (UMDAP) DHCS UMDAP procedure or by any other 21 payment 17 procedure as approved in advance, and in writing by ADMINISTRATOR; and in accordance 22 with Title 18 9 of the California Code of RegulationsCCR. Such fee shall not exceed the actual cost of services provided. 19 No client shall 23 be denied services because of an inability to pay. 20 24 B. THIRD-PARTY REVENUE – CONTRACTOR shall make every reasonable effort to obtain all 21 25 available third-party reimbursement for which persons served pursuant to this Agreement may be 22 26 eligible. Charges to insurance carriers shall be on the basis of CONTRACTOR’s usual and customary 23 27 charges. 24 28 C. PROCEDURES – CONTRACTOR shall maintain internal financial controls which adequately 25 29 ensure proper billing and collection procedures. CONTRACTOR’s procedures shall specifically 26 30 provide for the identification of delinquent accounts and methods for pursuing such accounts. 27 31 CONTRACTOR shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 32 status of fees which are billed, collected, transferred to a collection agency, or deemed by 29 33 CONTRACTOR to be uncollectible. 30 34 D. OTHER REVENUES – CONTRACTOR shall charge for services, supplies, or facility use by 31 35 persons other than individuals or groups eligible for services pursuant to this Agreement. 3236 // 37 //

REVENUE. 12 27 A. CLIENT FEES – CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a fee to 13 28 clients to whom billable services, other than those amounts reimbursed by Medicare, Medi-Cal or other 14 29 third party health plans, are provided pursuant to this Agreement, their estates and responsible relatives, 15 30 according to their ability to pay as determined by the State Department of Health Care ServicesDHCS’ 16 “Uniform Method of Determining Ability to Pay” (UMDAP) UMDAP procedure or by any other payment 17 31 procedure as approved in advance, and in writing by ADMINISTRATOR; and in accordance with Title 18 9 32 of the California Code of RegulationsCCR. Such fee shall not exceed the actual cost of services provided. 19 No client shall be denied 33 services because of an inability to pay. 20 34 B. THIRD-PARTY REVENUE – CONTRACTOR shall make every reasonable effort to obtain all 21 35 available third-party reimbursement for which persons served pursuant to this Agreement may be 22 eligible. 36 Charges to insurance carriers shall be on the basis of CONTRACTOR’s usual and customary 23 charges.. 37 // 24 1 C. PROCEDURES – CONTRACTOR shall maintain internal financial controls which adequately 25 2 ensure proper billing and collection procedures. CONTRACTOR’s procedures shall specifically 26 provide 3 for the identification of delinquent accounts and methods for pursuing such accounts. 27 CONTRACTOR 4 shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 status of fees which 5 are billed, collected, transferred to a collection agency, or deemed by 29 CONTRACTOR to be 6 uncollectible. 30 7 D. OTHER REVENUES – CONTRACTOR shall charge for services, supplies, or facility use by 31 8 persons other than individuals or groups eligible for services pursuant to this Agreement. 329

REVENUE. 12 28 A. CLIENT FEES – CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a fee to 13 clients 29 Clients to whom billable services, other than those amounts reimbursed by Medicare, Medi-Cal or other 14 30 third party health plans, are provided pursuant to this Agreement, their estates and responsible relatives, 15 31 according to their ability to pay as determined by the State Department of Health Care Services’ 16 “Uniform 32 Method of Determining Ability to Pay” (UMDAP) procedure or by any other payment 17 procedure as approved in 33 advance, and in writing by ADMINISTRATOR; and in accordance with Title 18 9 of the California Code of RegulationsCCR. Such fee 34 shall not exceed the actual cost of services provided. 19 No client Client shall be denied services because of an 35 inability to pay.. 36 // 37 // 20 1 B. THIRD-PARTY REVENUE – CONTRACTOR shall make every reasonable effort to obtain all 21 2 available third-party reimbursement for which persons served pursuant to this Agreement may be 22 eligible. 3 Charges to insurance carriers shall be on the basis of CONTRACTOR’s usual and customary 23 charges. 24 4 C. PROCEDURES – CONTRACTOR shall maintain internal financial controls which adequately 25 5 ensure proper billing and collection procedures. CONTRACTOR’s procedures shall specifically 26 provide 6 for the identification of delinquent accounts and methods for pursuing such accounts. 27 CONTRACTOR 7 shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 status of fees which 8 are billed, collected, transferred to a collection agency, or deemed by 29 CONTRACTOR to be uncollectible. 30 9 D. OTHER REVENUES – CONTRACTOR shall charge for services, supplies, or facility use by 31 10 persons other than individuals or groups eligible for services pursuant to this Agreement. 3211

REVENUE. 12 24 25 26 A. CLIENT FEES – CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a fee to 13 27 clients to whom billable 28 Services services, other than those amounts reimbursed by Medicare, Medi-Cal or other 14 third party health plans, are provided pursuant to this Agreement, their estates and 29 responsible relatives, 15 according to their ability to pay as determined by the State Department of Health Care Services’ 16 “Mental 30 Health's "Uniform Method of Determining Ability to Pay” " (UMDAP) UMDAP)DHCS’ UMDAP procedure or by any 31 other payment 17 procedure as approved in advance, and in writing by ADMINISTRATOR; and in 32 accordance with Title 18 9 of the California Code of Regulations.CCR. Such fee shall not exceed the 33 actual cost of services provided. 19 No client shall be denied services because of an inability to pay. 20 34 B. THIRD-PARTY REVENUE – CONTRACTOR shall make every reasonable effort to obtain all 21 35 available third-party reimbursement for which persons served pursuant hereunderpursuant to this Agreement may 36 be 22 eligible. Charges to insurance carriers shall be on the basis of CONTRACTOR’s usual and 37 customary 23 charges. 24 1 C. PROCEDURES – CONTRACTOR shall maintain internal financial controls which adequately 25 2 ensure proper billing and collection procedures. CONTRACTOR’s procedures shall specifically 26 provide 3 for the identification of delinquent accounts and methods for pursuing such accounts. 27 CONTRACTOR 4 shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 status of fees which 5 are billed, collected, transferred to a collection agency, or deemed by 29 CONTRACTOR to be 6 uncollectible. 30 7 D. OTHER REVENUES – CONTRACTOR shall charge for services, supplies, or facility use by 31 persons other than individuals or groups eligible for services pursuant to this Agreement. 32by

REVENUE. 12 16 A. CLIENT FEES – CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a fee to 13 17 clients to whom billable services, other than those amounts reimbursed by Medicare, Medi-Cal or other 14 18 third party health plans, are provided pursuant to this Agreement, their estates and responsible relatives, 15 19 according to their ability to pay as determined by the State Department of Health Care Services’ 16 20 “Uniform Method of Determining Ability to Pay” (UMDAP) procedure or by any other payment 17 procedure 21 as approved in advance, and in writing by ADMINISTRATOR; and in accordance with Title 18 9 of the 22 California Code of Regulations. Such fee shall not exceed the actual cost of services provided. 19 No client 23 shall be denied services because of an inability to pay. 20 24 B. THIRD-PARTY REVENUE – CONTRACTOR shall make every reasonable effort to obtain all 21 25 available third-party reimbursement for which persons served pursuant to this Agreement may be 22 26 eligible. Charges to insurance carriers shall be on the basis of CONTRACTOR’s usual and customary 23 27 charges. 24 28 C. PROCEDURES – CONTRACTOR shall maintain internal financial controls which adequately 25 29 ensure proper billing and collection procedures. CONTRACTOR’s procedures shall specifically 26 provide 30 for the identification of delinquent accounts and methods for pursuing such accounts. 27 CONTRACTOR 31 shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 status of fees which 32 are billed, collected, transferred to a collection agency, or deemed by 29 CONTRACTOR to be 33 uncollectible. 30 34 D. OTHER REVENUES – CONTRACTOR shall charge for services, supplies, or facility use by 31 35 persons other than individuals or groups eligible for services pursuant to this Agreement. 3236 // 37 //

REVENUE. 12 6 A. CLIENT FEES – CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a fee to 13 7 clients to whom billable services, other than those amounts reimbursed by Medicare, Medi-Cal or other 14 8 third party health plans, are provided pursuant to this Agreement, their estates and responsible relatives, 15 9 according to their ability to pay as determined by the State Department of Health Care Services’ 16 10 “Uniform Method of Determining Ability to Pay” (UMDAP) procedure or by any other payment 17 11 procedure as approved in advance, and in writing by ADMINISTRATOR; and in accordance with Title 18 12 9 of the California Code of Regulations. Such fee shall not exceed the actual cost of services provided. 19 13 No client shall be denied services because of an inability to pay. 20 14 B. THIRD-PARTY REVENUE – CONTRACTOR shall make every reasonable effort to obtain all 21 15 available third-party reimbursement for which persons served pursuant to this Agreement may be 22 16 eligible. Charges to insurance carriers shall be on the basis of CONTRACTOR’s usual and customary 23 17 charges. 24 18 C. PROCEDURES – CONTRACTOR shall maintain internal financial controls which adequately 25 19 ensure proper billing and collection procedures. CONTRACTOR’s procedures shall specifically 26 20 provide for the identification of delinquent accounts and methods for pursuing such accounts. 27 21 CONTRACTOR shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 22 status of fees which are billed, collected, transferred to a collection agency, or deemed by 29 23 CONTRACTOR to be uncollectible. 30 24 D. OTHER REVENUES – CONTRACTOR shall charge for services, supplies, or facility use by 31 25 persons other than individuals or groups eligible for services pursuant to this Agreement. 32.

REVENUE. 12 26 A. CLIENT FEES – CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a fee to 13 27 clients to whom billable services, other than those amounts reimbursed by Medicare, Medi-Cal or other 14 28 third party health plans, are provided pursuant to this Agreement, their estates and responsible relatives, 15 29 according to their ability to pay as determined by the State Department of Health Care Services’ 16 30 “Uniform Method of Determining Ability to Pay” (UMDAP) procedure or by any other payment 17 procedure 31 as approved in advance, and in writing by ADMINISTRATOR; and in accordance with Title 18 9 of the 32 California Code of Regulations. Such fee shall not exceed the actual cost of services provided. 19 No 33 client shall be denied services because of an inability to pay. 20 34 B. THIRD-PARTY REVENUE – CONTRACTOR shall make every reasonable effort to obtain all 21 35 available third-party reimbursement for which persons served pursuant to this Agreement may be 22 36 eligible. Charges to insurance carriers shall be on the basis of CONTRACTOR’s usual and customary 23 37 charges. 24 1 C. PROCEDURES – CONTRACTOR shall maintain internal financial controls which adequately 25 2 ensure proper billing and collection procedures. CONTRACTOR’s procedures shall specifically 26 3 provide for the identification of delinquent accounts and methods for pursuing such accounts. 27 4 CONTRACTOR shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 5 status of fees which are billed, collected, transferred to a collection agency, or deemed by 29 6 CONTRACTOR to be uncollectible. 30 7 D. OTHER REVENUES – CONTRACTOR shall charge for services, supplies, or facility use by 31 8 persons other than individuals or groups eligible for services pursuant to this Agreement. 329

REVENUE. 12 23 A. CLIENT FEES – CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a fee to 13 clients 24 Clients to whom billable services, other than those amounts reimbursed by Medicare, Medi-Cal or other 14 25 third party health plans, are provided pursuant to this Agreement, their estates and responsible relatives, 15 26 according to their ability to pay as determined by the State Department of Health Care Services’ 16 27 “Uniform Method of Determining Ability to Pay” (UMDAP) procedure or by any other payment 17 procedure as 28 approved in advance, and in writing by ADMINISTRATOR; and in accordance with Title 18 9 of the California Code of RegulationsCCR. 29 Such fee shall not exceed the actual cost of services provided. 19 No client Client shall be denied services 30 because of an inability to pay. 20 31 B. THIRD-PARTY REVENUE – CONTRACTOR shall make every reasonable effort to obtain all 21 32 available third-party reimbursement for which persons served pursuant to this Agreement may be 22 33 eligible. Charges to insurance carriers shall be on the basis of CONTRACTOR’s usual and customary 23 34 charges. 24 35 C. PROCEDURES – CONTRACTOR shall maintain internal financial controls which adequately 25 36 ensure proper billing and collection procedures. CONTRACTOR’s procedures shall specifically 26 37 provide for the identification of delinquent accounts and methods for pursuing such accounts. 27 1 CONTRACTOR shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 2 status of fees which are billed, collected, transferred to a collection agency, or deemed by 29 3 CONTRACTOR to be uncollectible. 30 4 D. OTHER REVENUES – CONTRACTOR shall charge for services, supplies, or facility use by 31 5 persons other than individuals or groups eligible for services pursuant to this Agreement. 326

REVENUE. 12 3 A. CLIENT FEES – CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a fee to 13 clients 4 Clients to whom billable services, other than those amounts reimbursed by Medicare, Medi-Cal or other 14 5 third party health plans, are provided pursuant to this AgreementContract, their estates and responsible relatives, 15 6 according to their ability to pay as determined by the State Department of Health Care Services’ 16 “Uniform 7 Method of Determining Ability to Pay” (UMDAP) procedure or by any other payment 17 procedure as approved in 8 advance, and in writing by ADMINISTRATOR; and in accordance with Title 18 9 of the California Code of RegulationsCCR. Such fee 9 shall not exceed the actual cost of services provided. 19 No client Client shall be denied services because of an 10 inability to pay. 20 11 B. THIRD-PARTY REVENUE – CONTRACTOR shall make every reasonable effort to obtain all 21 12 available third-party reimbursement for which persons served pursuant to this Agreement Contract may be 22 eligible. 13 Charges to insurance carriers shall be on the basis of CONTRACTOR’s usual and customary 23 charges. 24 14 C. PROCEDURES – CONTRACTOR shall maintain internal financial controls which adequately 25 15 ensure proper billing and collection procedures. CONTRACTOR’s procedures shall specifically 26 provide 16 for the identification of delinquent accounts and methods for pursuing such accounts. 27 CONTRACTOR 17 shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 status of fees which 18 are billed, collected, transferred to a collection agency, or deemed by 29 CONTRACTOR to be uncollectible. 30 19 D. OTHER REVENUES – CONTRACTOR shall charge for services, supplies, or facility use by 31 20 persons other than individuals or groups eligible for services pursuant to this AgreementContract. 3221

REVENUE. 12 4 A. CLIENT FEES – CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a fee to 13 clients 5 Clients to whom billable services, other than those amounts reimbursed by Medicare, Medi-Cal or other 14 6 third party health plans, are provided pursuant to this Agreement, their estates and responsible relatives, 15 7 according to their ability to pay as determined by the State Department of Health Care Services’ 16 8 “Uniform Method of Determining Ability to Pay” (UMDAP) procedure or by any other payment 17 9 procedure as approved in advance, and in writing by ADMINISTRATOR; and in accordance with Title 18 9 10 of the California Code of Regulations. Such fee shall not exceed the actual cost of services provided. 19 11 No client Client shall be denied services because of an inability to pay. 20 12 B. THIRD-PARTY REVENUE – CONTRACTOR shall make every reasonable effort to obtain all 21 13 available third-party reimbursement for which persons served pursuant to this Agreement may be 22 14 eligible. Charges to insurance carriers shall be on the basis of CONTRACTOR’s usual and customary 23 15 charges. 24 16 C. PROCEDURES – CONTRACTOR shall maintain internal financial controls which adequately 25 17 ensure proper billing and collection procedures. CONTRACTOR’s procedures shall specifically 26 provide 18 for the identification of delinquent accounts and methods for pursuing such accounts. 27 CONTRACTOR 19 shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 status of fees which 20 are billed, collected, transferred to a collection agency, or deemed by 29 CONTRACTOR to be 21 uncollectible. 30 D. OTHER REVENUES – CONTRACTOR shall charge for services, supplies, or facility use by 31 persons other than individuals or groups eligible for services pursuant to this Agreement. 3222

REVENUE. 12 16 A. CLIENT FEES – CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a fee to 13 17 clients to whom billable services, other than those amounts reimbursed by Medicare, Medi-Cal or other 14 18 third party health plans, are provided pursuant to this Agreement, their estates and responsible relatives, 15 19 according to their ability to pay as determined by the State Department of Health Care Services’ 16 20 “Uniform Method of Determining Ability to Pay” (UMDAP) procedure or by any other payment 17 21 procedure as approved in advance, and in writing by ADMINISTRATOR; and in accordance with Title 18 22 9 of the California Code of Regulations. Such fee shall not exceed the actual cost of services provided. 19 23 No client shall be denied services because of an inability to pay. 20 24 B. THIRD-PARTY REVENUE – CONTRACTOR shall make every reasonable effort to obtain all 21 25 available third-party reimbursement for which persons served pursuant to this Agreement may be 22 26 eligible. Charges to insurance carriers shall be on the basis of CONTRACTOR’s usual and customary 23 27 charges. 24 28 C. PROCEDURES – CONTRACTOR shall maintain internal financial controls which adequately 25 29 ensure proper billing and collection procedures. CONTRACTOR’s procedures shall specifically 26 provide 30 for the identification of delinquent accounts and methods for pursuing such accounts. 27 CONTRACTOR 31 shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 status of fees which 32 are billed, collected, transferred to a collection agency, or deemed by 29 CONTRACTOR to be 33 uncollectible. 30 34 D. OTHER REVENUES – CONTRACTOR shall charge for services, supplies, or facility use by 31 35 persons other than individuals or groups eligible for services pursuant to this Agreement. 3236 // 37 //

REVENUE. 12 23 A. CLIENT FEES – CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a fee to 13 24 clients to whom billable services, other than those amounts reimbursed by Medicare, Medi-Cal or other 14 25 third party health plans, are provided pursuant to this Agreement, their estates and responsible relatives, 15 26 according to their ability to pay as determined by the State Department of Health Care Services’ 16 27 “Uniform Method of Determining Ability to Pay” (UMDAP) procedure or by any other payment 17 procedure 28 as approved in advance, and in writing by ADMINISTRATOR; and in accordance with Title 18 9 of the 29 California Code of Regulations. Such fee shall not exceed the actual cost of services provided. 19 No 30 client shall be denied services because of an inability to pay. 20 31 B. THIRD-PARTY REVENUE – CONTRACTOR shall make every reasonable effort to obtain all 21 32 available third-party reimbursement for which persons served pursuant to this Agreement may be 22 33 eligible. Charges to insurance carriers shall be on the basis of CONTRACTOR’s usual and customary 23 34 charges. 24 35 C. PROCEDURES – CONTRACTOR shall maintain internal financial controls which adequately 25 36 ensure proper billing and collection procedures. CONTRACTOR’s procedures shall specifically 26 provide 37 for the identification of delinquent accounts and methods for pursuing such accounts. 27 CONTRACTOR 1 shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 status of fees which 2 are billed, collected, transferred to a collection agency, or deemed by 29 CONTRACTOR to be 3 uncollectible. 30 4 D. OTHER REVENUES – CONTRACTOR shall charge for services, supplies, or facility use by 31 5 persons other than individuals or groups eligible for services pursuant to this Agreement. 326

REVENUE. 12 29 A. CLIENT FEES – CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a fee to 13 30 clients to whom billable services, other than those amounts reimbursed by Medicare, Medi-Cal or other 14 31 third party health plans, are provided pursuant to this Agreement, their estates and responsible relatives, 15 32 according to their ability to pay as determined by the State Department of Health Care Services’ 16 “Uniform 33 Method of Determining Ability to Pay” (UMDAP) procedure or by any other payment 17 procedure as 34 approved in advance, and in writing by ADMINISTRATOR; and in accordance with Title 18 9 of the 35 California Code of Regulations. Such fee shall not exceed the actual cost of services provided. 19 No client 36 shall be denied services because of an inability to pay. 20 37 B. THIRD-PARTY REVENUE – CONTRACTOR shall make every reasonable effort to obtain all 21 1 available third-party reimbursement for which persons served pursuant to this Agreement may be 22 eligible. 2 Charges to insurance carriers shall be on the basis of CONTRACTOR’s usual and customary 23 charges. 24 3 C. PROCEDURES – CONTRACTOR shall maintain internal financial controls which adequately 25 4 ensure proper billing and collection procedures. CONTRACTOR’s procedures shall specifically 26 provide 5 for the identification of delinquent accounts and methods for pursuing such accounts. 27 CONTRACTOR 6 shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 status of fees which 7 are billed, collected, transferred to a collection agency, or deemed by 29 CONTRACTOR to be uncollectible. 30 8 D. OTHER REVENUES – CONTRACTOR shall charge for services, supplies, or facility use by 31 9 persons other than individuals or groups eligible for services pursuant to this Agreement. 32.

REVENUE. 12 15 A. CLIENT FEES – CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a fee to 13 clients 16 Clients to whom billable services, other than those amounts reimbursed by Medicare, Medi-Cal or other 14 17 third party health plans, are provided pursuant to this AgreementContract, their estates and responsible relatives, 15 18 according to their ability to pay as determined by the State Department of Health Care Services’ 16 “Uniform 19 Method of Determining Ability to Pay” (UMDAP) procedure or by any other payment 17 procedure as approved in 20 advance, and in writing by ADMINISTRATOR; and in accordance with Title 18 9 of the California Code of RegulationsCCR. Such fee 21 shall not exceed the actual cost of services provided. 19 No client Client shall be denied services because of an 22 inability to pay. 20 23 B. THIRD-PARTY REVENUE – CONTRACTOR shall make every reasonable effort to obtain all 21 24 available third-party reimbursement for which persons served pursuant to this Agreement Contract may be 22 eligible. 25 Charges to insurance carriers shall be on the basis of CONTRACTOR’s usual and customary 23 charges. 24 26 C. PROCEDURES – CONTRACTOR shall maintain internal financial controls which adequately 25 27 ensure proper billing and collection procedures. CONTRACTOR’s procedures shall specifically 26 provide 28 for the identification of delinquent accounts and methods for pursuing such accounts. 27 CONTRACTOR 29 shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 status of fees which 30 are billed, collected, transferred to a collection agency, or deemed by 29 CONTRACTOR to be uncollectible. 30 31 D. OTHER REVENUES – CONTRACTOR shall charge for services, supplies, or facility use by 31 32 persons other than individuals or groups eligible for services pursuant to this AgreementContract. 3233

REVENUE. 12 11 A. CLIENT FEES – CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a fee to 13 12 clients to whom billable services, other than those amounts reimbursed by Medicare, Medi-Cal or 13 Servicesor other 14 third party health plans, are provided pursuant to this Agreement, their estates and 14 responsible relatives, 15 according to their ability to pay as determined by the State Department of Health Care Services’ Mental 16 “Uniform Method of Determining Ability to Pay” (UMDAP) procedure or by any other payment 17 procedure as approved in advance, and in writing by 17 ADMINISTRATOR; and in accordance with Title 18 9 of the 18 California Code of Regulations. Such fee shall not exceed the actual cost of services provided. No 19 No client shall be denied services because of an inability to pay. 20 B. THIRD-PARTY REVENUE – CONTRACTOR shall make every reasonable effort to obtain all 21 available third-party reimbursement for which persons served pursuant hereunderpursuant to this Agreement may 22 be 22 eligible. Charges to insurance carriers shall be on the basis of CONTRACTOR’s usual and 23 customary 23 charges. 24 C. PROCEDURES – CONTRACTOR shall maintain internal financial controls which adequately 25 ensure proper billing and collection procedures. CONTRACTOR’s procedures shall specifically provide 26 provide for the identification of delinquent accounts and methods for pursuing such accounts. CONTRACTOR 27 CONTRACTOR shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 status of fees which 28 are billed, collected, transferred to a collection agency, or deemed by 29 CONTRACTOR to be 29 uncollectible. . 30 // 31 // 32 // 33 // 34 // 35 // 36 D. OTHER REVENUES – CONTRACTOR shall charge for services, supplies, or facility use by 31 37 persons other than individuals or groups eligible for services pursuant to this Agreement. 3235 of 30 X:\CONTRACTS - 2012 -\2012-2014\BH\FSP-OK-CCS-12-14-EG.doc CCS03MHKK14 of 43

REVENUE. 12 37 A. CLIENT FEES – CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a fee to 13 1 clients to whom billable services, other than those amounts reimbursed by Medicare, Medi-Cal or other 14 2 third party health plans, are provided pursuant to this Agreement, their estates and responsible relatives, 15 3 according to their ability to pay as determined by the State Department of Health Care Services’ 16 4 “Uniform Method of Determining Ability to Pay” (UMDAP) procedure or by any other payment 17 5 procedure as approved in advance, and in writing by ADMINISTRATOR; and in accordance with Title 18 6 9 of the California Code of Regulations. Such fee shall not exceed the actual cost of services provided. 19 7 No client shall be denied services because of an inability to pay. 20 8 B. THIRD-PARTY REVENUE – CONTRACTOR shall make every reasonable effort to obtain all 21 9 available third-party reimbursement for which persons served pursuant to this Agreement may be 22 10 eligible. Charges to insurance carriers shall be on the basis of CONTRACTOR’s usual and customary 23 11 charges. 24 12 C. PROCEDURES – CONTRACTOR shall maintain internal financial controls which adequately 25 13 ensure proper billing and collection procedures. CONTRACTOR’s procedures shall specifically 26 14 provide for the identification of delinquent accounts and methods for pursuing such accounts. 27 15 CONTRACTOR shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 16 status of fees which are billed, collected, transferred to a collection agency, or deemed by 29 17 CONTRACTOR to be uncollectible. 30 18 D. OTHER REVENUES – CONTRACTOR shall charge for services, supplies, or facility use by 31 19 persons other than individuals or groups eligible for services pursuant to this Agreement. 3220

REVENUE. 12 5 result of this Agreement for the purpose of personal publication. 6 8 A. CLIENT FEES – CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a fee to 13 9 clients to whom billable services, other than those amounts reimbursed by Medicare, Medi-Cal or 10 Servicesor other 14 third party health plans, are provided pursuant to this Agreement, their estates and 11 responsible relatives, 15 according to their ability to pay as determined by the State Department of Health Care Services’ 16 “Uniform Method of Determining Ability to Pay” (UMDAP) Mental 13 procedure or by any other payment 17 procedure as approved in advance, and in writing by 14 ADMINISTRATOR; and in accordance with Title 18 9 of the California Code of Regulations. Such fee 15 shall not exceed the actual cost of services provided. 19 No client shall be denied services because of an 16 inability to pay. 20 17 B. THIRD-PARTY REVENUE – CONTRACTOR shall make every reasonable effort to obtain all 21 18 available third-party reimbursement for which persons served pursuant hereunderpursuant to this Agreement may 19 be 22 eligible. Charges to insurance carriers shall be on the basis of CONTRACTOR’s usual and 20 customary 23 charges. 24 21 C. PROCEDURES – CONTRACTOR shall maintain internal financial controls which adequately 25 22 ensure proper billing and collection procedures. CONTRACTOR’s procedures shall specifically 26 provide 23 for the identification of delinquent accounts and methods for pursuing such accounts. 27 CONTRACTOR 24 shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 status of fees which 25 are billed, collected, transferred to a collection agency, or deemed by 29 CONTRACTOR to be 26 uncollectible. . 27 // 28 // 29 // 30 // 31 // 32 // 33 D. OTHER REVENUES – CONTRACTOR shall charge for services, supplies, or facility use by 31 34 persons other than individuals or groups eligible for services pursuant to this Agreement. 3235

REVENUE. 12 17 A. CLIENT FEES – CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a fee to 13 18 clients to whom billable services, other than those amounts reimbursed by Medicare, Medi-Cal or other 14 19 third party health plans, are provided pursuant to this Agreement, their estates and responsible relatives, 15 20 according to their ability to pay as determined by the State Department of Health Care Services’ 16 21 “Uniform Method of Determining Ability to Pay” (UMDAP) procedure or by any other payment 17 22 procedure as approved in advance, and in writing by ADMINISTRATOR; and in accordance with Title 18 23 9 of the California Code of Regulations. Such fee shall not exceed the actual cost of services provided. 19 24 No client shall be denied services because of an inability to pay. 20 25 B. THIRD-PARTY REVENUE – CONTRACTOR shall make every reasonable effort to obtain all 21 26 available third-party reimbursement for which persons served pursuant to this Agreement may be 22 27 eligible. Charges to insurance carriers shall be on the basis of CONTRACTOR’s usual and customary 23 28 charges. 24 29 C. PROCEDURES – CONTRACTOR shall maintain internal financial controls which adequately 25 30 ensure proper billing and collection procedures. CONTRACTOR’s procedures shall specifically 26 provide 31 for the identification of delinquent accounts and methods for pursuing such accounts. 27 CONTRACTOR 32 shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 status of fees which 33 are billed, collected, transferred to a collection agency, or deemed by 29 CONTRACTOR to be 34 uncollectible. 30 35 D. OTHER REVENUES – CONTRACTOR shall charge for services, supplies, or facility use by 31 36 persons other than individuals or groups eligible for services pursuant to this Agreement. 3237 //

REVENUE. 12 10 A. CLIENT INDIVIDUAL FEES – CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a 11 fee to 13 clients individuals to whom billable services, other than those amounts reimbursed by Medicare, Medi-Medi- 12 Cal or other 14 third party health plans, are provided pursuant to this Agreement, their estates and 13 responsible relatives, 15 according to their ability to pay as determined by the State Department of Health Care Services’ 16 “Uniform Method of Determining Ability to Pay” (UMDAP) procedure or by any other 15 payment 17 procedure as approved in advance, and in writing by ADMINISTRATOR; and in accordance 16 with Title 18 9 of the California Code of Regulations. Such fee shall not exceed the actual cost of services 17 provided. 19 No client individual shall be denied services because of an inability to pay. 20 18 B. THIRD-PARTY REVENUE – CONTRACTOR shall make every reasonable effort to obtain all 21 19 available third-party reimbursement for which persons served pursuant to this Agreement may be 22 20 eligible. Charges to insurance carriers shall be on the basis of CONTRACTOR’s usual and customary 23 21 charges. 24 22 C. PROCEDURES – CONTRACTOR shall maintain internal financial controls which adequately 25 23 ensure proper billing and collection procedures. CONTRACTOR’s procedures shall specifically 26 24 provide for the identification of delinquent accounts and methods for pursuing such accounts. 27 25 CONTRACTOR shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 26 status of fees which are billed, collected, transferred to a collection agency, or deemed by 29 27 CONTRACTOR to be uncollectible. 30 28 D. OTHER REVENUES – CONTRACTOR shall charge for services, supplies, or facility use by 31 29 persons other than individuals or groups eligible for services pursuant to this Agreement. 3230

REVENUE. 12 17 A. CLIENT FEES – CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a fee to 13 18 clients to whom billable services, other than those amounts reimbursed by Medicare, Medi-Cal or other 14 19 third party health plans, are provided pursuant to this Agreement, their estates and responsible relatives, 15 20 according to their ability to pay as determined by the State Department of Health Care Services’ 16 21 “Uniform Method of Determining Ability to Pay” (UMDAP) procedure or by any other payment 17 procedure 22 as approved in advance, and in writing by ADMINISTRATOR; and in accordance with Title 18 9 of the 23 California Code of Regulations. Such fee shall not exceed the actual cost of services provided. 19 No 24 client shall be denied services because of an inability to pay. 20 25 B. THIRD-PARTY REVENUE – CONTRACTOR shall make every reasonable effort to obtain all 21 26 available third-party reimbursement for which persons served pursuant to this Agreement may be 22 27 eligible. Charges to insurance carriers shall be on the basis of CONTRACTOR’s usual and customary 23 28 charges. 24 29 C. PROCEDURES – CONTRACTOR shall maintain internal financial controls which adequately 25 30 ensure proper billing and collection procedures. CONTRACTOR’s procedures shall specifically 26 provide 31 for the identification of delinquent accounts and methods for pursuing such accounts. 27 CONTRACTOR 32 shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 status of fees which 33 are billed, collected, transferred to a collection agency, or deemed by 29 CONTRACTOR to be 34 uncollectible. 30 35 D. OTHER REVENUES – CONTRACTOR shall charge for services, supplies, or facility use by 31 36 persons other than individuals or groups eligible for services pursuant to this Agreement. 3237 //

REVENUE. 12 4 A. CLIENT FEES – CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a fee to 13 5 clients to whom billable services, other than those amounts reimbursed by Medicare, Medi-Cal or other 14 6 third party health plans, are provided pursuant to this Agreement, their estates and responsible relatives, 15 according 7 a ccording to their ability to pay as determined by the State Department of Health Care Services’ 16 8 “Uniform Method of Determining Ability to Pay” (UMDAP) procedure or by any other payment 17 procedure 9 as approved in advance, and in writing by ADMINISTRATOR; and in accordance with Title 18 9 of the 10 California Code of Regulations. Such fee shall not exceed the actual cost of services provided. 19 No 11 client shall be denied services because of an inability to pay. 20 12 B. THIRD-PARTY REVENUE – CONTRACTOR shall make every reasonable effort to obtain all 21 13 available third-party reimbursement for which persons served pursuant to this Agreement may be 22 14 eligible. Charges to insurance carriers shall be on the basis of CONTRACTOR’s usual and customary 23 15 charges. 24 16 C. PROCEDURES – CONTRACTOR shall maintain internal financial controls which adequately 25 17 ensure proper billing and collection procedures. CONTRACTOR’s procedures shall specifically 26 provide 18 for the identification of delinquent accounts and methods for pursuing such accounts. 27 CONTRACTOR 19 shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 status of fees which 20 are billed, collected, transferred to a collection agency, or deemed by 29 CONTRACTOR to be 21 uncollectible. 30 22 D. OTHER REVENUES – CONTRACTOR shall charge for services, supplies, or facility use by 31 persons other than individuals or groups eligible for services pursuant to this Agreement. 32by

REVENUE. 12 37 A. CLIENT FEES – CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a fee to 13 1 clients to whom billable services, other than those amounts reimbursed by Medicare, Medi-Cal or other 14 2 third party health plans, are provided pursuant to this Agreement, their estates and responsible relatives, 15 3 according to their ability to pay as determined by the State Department of Health Care Services’ 16 4 “Uniform Method of Determining Ability to Pay” (UMDAP) procedure or by any other payment 17 5 procedure as approved in advance, and in writing by ADMINISTRATOR; and in accordance with Title 18 6 9 of the California Code of Regulations. Such fee shall not exceed the actual cost of services provided. 19 7 No client shall be denied services because of an inability to pay. 20 8 B. THIRD-PARTY REVENUE – CONTRACTOR shall make every reasonable effort to obtain all 21 9 available third-party reimbursement for which persons served pursuant to this Agreement may be 22 10 eligible. Charges to insurance carriers shall be on the basis of CONTRACTOR’s usual and customary 23 11 charges. 24 12 C. PROCEDURES – CONTRACTOR shall maintain internal financial controls which adequately 25 13 ensure proper billing and collection procedures. CONTRACTOR’s procedures shall specifically 26 14 provide for the identification of delinquent accounts and methods for pursuing such accounts. 27 15 CONTRACTOR shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 16 status of fees which are billed, collected, transferred to a collection agency, or deemed by 29 17 CONTRACTOR to be uncollectible. 30 18 D. OTHER REVENUES – CONTRACTOR shall charge for services, supplies, or facility use by 31 19 persons other than individuals or groups eligible for services pursuant to this Agreement. 32.

REVENUE. 12 30 A. CLIENT FEES – CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a fee to 13 31 clients to whom billable services, other than those amounts reimbursed by Medicare, Medi-Cal or other 14 32 third party health plans, are provided pursuant to this Agreement, their estates and responsible relatives, 15 33 according to their ability to pay as determined by the State Department of Health Care Services’ 16 34 “Uniform Method of Determining Ability to Pay” (UMDAP) procedure or by any other payment 17 35 procedure as approved in advance, and in writing by ADMINISTRATOR; and in accordance with Title 18 36 9 of the California Code of Regulations. Such fee shall not exceed the actual cost of services provided. 19 37 No client shall be denied services because of an inability to pay. 20 1 B. THIRD-PARTY REVENUE – CONTRACTOR shall make every reasonable effort to obtain all 21 2 available third-party reimbursement for which persons served pursuant to this Agreement may be 22 3 eligible. Charges to insurance carriers shall be on the basis of CONTRACTOR’s usual and customary 23 4 charges. 24 5 C. PROCEDURES – CONTRACTOR shall maintain internal financial controls which adequately 25 6 ensure proper billing and collection procedures. CONTRACTOR’s procedures shall specifically 26 7 provide for the identification of delinquent accounts and methods for pursuing such accounts. 27 8 CONTRACTOR shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 9 status of fees which are billed, collected, transferred to a collection agency, or deemed by 29 10 CONTRACTOR to be uncollectible. 30 11 D. OTHER REVENUES – CONTRACTOR shall charge for services, supplies, or facility use by 31 12 persons other than individuals or groups eligible for services pursuant to this Agreement. 3213

REVENUE. 12 27 A. CLIENT FEES – CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a fee to 13 28 clients to whom billable services, other than those amounts reimbursed by Medicare, Medi-Cal or other 14 29 third party health plans, are provided pursuant to this Agreement, their estates and responsible relatives, 15 30 according to their ability to pay as determined by the State Department of Health Care Services’ 16 31 “Uniform Method of Determining Ability to Pay” (UMDAP) procedure or by any other payment 17 32 procedure as approved in advance, and in writing by ADMINISTRATOR; and in accordance with Title 18 33 9 of the California Code of Regulations. Such fee shall not exceed the actual cost of services provided. 19 34 No client shall be denied services because of an inability to pay. 20 35 B. THIRD-PARTY REVENUE – CONTRACTOR shall make every reasonable effort to obtain all 21 36 available third-party reimbursement for which persons served pursuant to this Agreement may be 22 37 // 1 eligible. Charges to insurance carriers shall be on the basis of CONTRACTOR’s usual and customary 23 2 charges. 24 3 C. PROCEDURES – CONTRACTOR shall maintain internal financial controls which adequately 25 4 ensure proper billing and collection procedures. CONTRACTOR’s procedures shall specifically 26 5 provide for the identification of delinquent accounts and methods for pursuing such accounts. 27 6 CONTRACTOR shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 7 status of fees which are billed, collected, transferred to a collection agency, or deemed by 29 8 CONTRACTOR to be uncollectible. 30 9 D. OTHER REVENUES – CONTRACTOR shall charge for services, supplies, or facility use by 31 10 persons other than individuals or groups eligible for services pursuant to this Agreement. 3211

REVENUE. 12 20 A. CLIENT FEES – - CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a fee to 13 clients 21 clients, except AB 3632 clients, to whom billable services, other than those amounts reimbursed by Medicare, Medi-Cal or other 14 third party health plansServices, are provided pursuant 22 to this Agreement, their estates and responsible relatives, 15 according to their ability to pay as determined 23 by the State Department of Health Care Services’ 16 “Mental Health's "Uniform Method of Determining Ability to Pay” " 24 (UMDAP) procedure or by any other payment 17 procedure as approved in advanceprocedure, and in writing by ADMINISTRATOR; and in accordance with Title 18 9 of the California Code of Regulations. Such fee 25 shall not exceed the actual cost of services provided. 19 No client shall be denied services because of an 26 inability to pay. 20 27 B. THIRD-PARTY REVENUE – - CONTRACTOR shall make every reasonable effort to obtain all 21 28 available third-party reimbursement for which persons served pursuant to this Agreement hereunder may be 22 eligible. Charges to 29 insurance carriers shall be on the basis of CONTRACTOR’s usual and customary 23 charges. 24 30 C. PROCEDURES – - CONTRACTOR shall maintain internal financial controls which adequately 25 31 ensure proper billing and collection procedures. CONTRACTOR’s procedures shall specifically 26 32 provide for the identification of delinquent accounts and methods for pursuing such accounts. 27 33 CONTRACTOR shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 34 status of fees which are billed, collected, transferred to a collection agency, agency or deemed by 29 35 CONTRACTOR to be uncollectible. 30 D. OTHER REVENUES – CONTRACTOR shall charge for services. 36 37 XIX. SEVERABILITY 1 If a court of competent jurisdiction declares any provision of this Agreement or application thereof 2 to any person or circumstances to be invalid or if any provision of this Agreement contravenes any 3 federal, suppliesstate or county statute, ordinance, or facility use by 31 persons other than individuals regulation, the remaining provisions of this Agreement or groups eligible for services pursuant 4 the application thereof shall remain valid, and the remaining provisions of this Agreement shall remain 5 in full force and effect, and to that extent the provisions of this AgreementAgreement are severable. 326 //

REVENUE. 12 A. CLIENT FEES – CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a fee to 13 clients to whom billable services, other than those amounts reimbursed by Medicare, Medi-Cal or other 14 third party health plans, are provided pursuant to this Agreement, their estates and responsible relatives, 15 according to their ability to pay as determined by the State Department of Health Care Services’ 16 “Uniform Method of Determining Ability to Pay” (UMDAP) procedure or by any other payment 17 procedure as approved in advance, and in writing by ADMINISTRATOR; and in accordance with Title 18 9 of the California Code of Regulations. Such fee shall not exceed the actual cost of services provided. 19 No client shall be denied services because of an inability to pay. 20 B. THIRD-PARTY REVENUE – CONTRACTOR shall make every reasonable effort to obtain all 21 available third-party reimbursement for which persons served pursuant to this Agreement may be 22 eligible. Charges to insurance carriers shall be on the basis of CONTRACTOR’s usual and customary 23 11 22 33 44 55 66 77 88 99 1010 111 1212 1313 1414 1515 1616 1717 1818 1919 2020 2121 222 2323 2424 2525 2626 2727 2828 2929 3030 3131 3232 333 3434 3535 3636 3737 charges. 24 C. PROCEDURES – CONTRACTOR shall maintain internal financial controls which adequately 25 ensure proper billing and collection procedures. CONTRACTOR’s procedures shall specifically 26 provide for the identification of delinquent accounts and methods for pursuing such accounts. 27 CONTRACTOR shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 status of fees which are billed, collected, transferred to a collection agency, or deemed by 29 CONTRACTOR to be uncollectible. 30 D. OTHER REVENUES – CONTRACTOR shall charge for services, supplies, or facility use by 31 persons other than individuals or groups eligible for services pursuant to this Agreement. 32//

REVENUE. 12 25 A. CLIENT FEES – CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a fee to 13 26 clients to whom billable services, other than those amounts reimbursed by Medicare, Medi-Cal or other 14 27 third party health plans, are provided pursuant to this Agreement, their estates and responsible relatives, 15 28 according to their ability to pay as determined by the State Department of Health Care Services’ 16 29 “Uniform Method of Determining Ability to Pay” (UMDAP) procedure or by any other payment 17 30 procedure as approved in advance, and in writing by ADMINISTRATOR; and in accordance with Title 18 31 9 of the California Code of Regulations. Such fee shall not exceed the actual cost of services provided. 19 32 No client shall be denied services because of an inability to pay. 20 33 B. THIRD-PARTY REVENUE – CONTRACTOR shall make every reasonable effort to obtain all 21 34 available third-party reimbursement for which persons served pursuant to this Agreement may be 22 35 eligible. Charges to insurance carriers shall be on the basis of CONTRACTOR’s usual and customary 23 36 charges. 24 37 C. PROCEDURES – CONTRACTOR shall maintain internal financial controls which adequately 25 34 of 42 1 ensure proper billing and collection procedures. CONTRACTOR’s procedures shall specifically 26 2 provide for the identification of delinquent accounts and methods for pursuing such accounts. 27 3 CONTRACTOR shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 4 status of fees which are billed, collected, transferred to a collection agency, or deemed by 29 5 CONTRACTOR to be uncollectible. 30 6 D. OTHER REVENUES – CONTRACTOR shall charge for services, supplies, or facility use by 31 7 persons other than individuals or groups eligible for services pursuant to this Agreement. 328

REVENUE. 12 11 A. CLIENT FEES – CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a fee to 13 12 clients to whom billable services, other than those amounts reimbursed by Medicare, Medi-Cal or other 14 13 third party health plans, are provided pursuant to this Agreement, their estates and responsible relatives, 15 14 according to their ability to pay as determined by the State Department of Health Care Services’ 16 15 “Uniform Method of Determining Ability to Pay” (UMDAP) procedure or by any other payment 17 16 procedure as approved in advance, and in writing by ADMINISTRATOR; and in accordance with Title 18 17 9 of the California Code of Regulations. Such fee shall not exceed the actual cost of services provided. 19 18 No client shall be denied services because of an inability to pay. 20 19 B. THIRD-PARTY REVENUE – CONTRACTOR shall make every reasonable effort to obtain all 21 20 available third-party reimbursement for which persons served pursuant to this Agreement may be 22 21 eligible. Charges to insurance carriers shall be on the basis of CONTRACTOR’s usual and customary 23 22 charges. 24 23 C. PROCEDURES – CONTRACTOR shall maintain internal financial controls which adequately 25 24 ensure proper billing and collection procedures. CONTRACTOR’s procedures shall specifically 26 25 provide for the identification of delinquent accounts and methods for pursuing such accounts. 27 26 CONTRACTOR shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 27 status of fees which are billed, collected, transferred to a collection agency, or deemed by 29 28 CONTRACTOR to be uncollectible. 30 29 D. OTHER REVENUES – CONTRACTOR shall charge for services, supplies, or facility use by 31 30 persons other than individuals or groups eligible for services pursuant to this Agreement. 3231

REVENUE. 12 33 A. CLIENT FEES – CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a fee to 13 34 clients to whom billable services, other than those amounts reimbursed by Medicare, Medi-Cal or other 14 35 third party health plans, are provided pursuant to this Agreement, their estates and responsible relatives, 15 36 according to their ability to pay as determined by the State Department of Health Care Services’ 16 37 “Uniform Method of Determining Ability to Pay” (UMDAP) procedure or by any other payment 17 1 procedure as approved in advance, and in writing by ADMINISTRATOR; and in accordance with Title 18 2 9 of the California Code of Regulations. Such fee shall not exceed the actual cost of services provided. 19 3 No client shall be denied services because of an inability to pay. 20 4 B. THIRD-PARTY REVENUE – CONTRACTOR shall make every reasonable effort to obtain all 21 5 available third-party reimbursement for which persons served pursuant to this Agreement may be 22 6 eligible. Charges to insurance carriers shall be on the basis of CONTRACTOR’s usual and customary 23 7 charges. 24 8 C. PROCEDURES – CONTRACTOR shall maintain internal financial controls which adequately 25 9 ensure proper billing and collection procedures. CONTRACTOR’s procedures shall specifically 26 10 provide for the identification of delinquent accounts and methods for pursuing such accounts. 27 11 CONTRACTOR shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 12 status of fees which are billed, collected, transferred to a collection agency, or deemed by 29 13 CONTRACTOR to be uncollectible. 30 14 D. OTHER REVENUES – CONTRACTOR shall charge for services, supplies, or facility use by 31 15 persons other than individuals or groups eligible for services pursuant to this Agreement. 3216

REVENUE. 12 6 A. CLIENT FEES – CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a fee to 13 clients 7 Clients to whom billable services, other than those amounts reimbursed by Medicare, Medi-Cal or other 14 8 third party health plans, are provided pursuant to this Agreement, their estates and responsible relatives, 15 9 according to their ability to pay as determined by the State Department of Health Care Services’ 16 10 “Uniform Method of Determining Ability to Pay” (UMDAP) procedure or by any other payment 17 11 procedure as approved in advance, and in writing by ADMINISTRATOR; and in accordance with Title 18 9 12 of the California Code of Regulations. Such fee shall not exceed the actual cost of services provided. 19 13 No client Client shall be denied services because of an inability to pay. 20 14 B. THIRD-PARTY REVENUE – CONTRACTOR shall make every reasonable effort to obtain all 21 15 available third-party reimbursement for which persons served pursuant to this Agreement may be 22 16 eligible. Charges to insurance carriers shall be on the basis of CONTRACTOR’s usual and customary 23 17 charges. 24 18 C. PROCEDURES – CONTRACTOR shall maintain internal financial controls which adequately 25 19 ensure proper billing and collection procedures. CONTRACTOR’s procedures shall specifically 26 provide 20 for the identification of delinquent accounts and methods for pursuing such accounts. 27 CONTRACTOR 21 shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 status of fees which 22 are billed, collected, transferred to a collection agency, or deemed by 29 CONTRACTOR to be 23 uncollectible. 30 D. OTHER REVENUES – CONTRACTOR shall charge for services, supplies, or facility use by 31 persons other than individuals or groups eligible for services pursuant to this Agreement. 3224

REVENUE. 12 37 A. CLIENT FEES – CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a fee to 13 R:\BH K MGMT\BH VENDOR FOLDER(S)\CYS\PCS04 - CYBH BHOP\FY2021-22\RENEWAL AMENDMENT\PCS - BH OP SVCS FY 18-22 - REDLINE AMEND 1 clients to whom billable services, other than those amounts reimbursed by Medicare, Medi-Cal or other 14 2 third party health plans, are provided pursuant to this Agreement, their estates and responsible relatives, 15 3 according to their ability to pay as determined by the State Department of Health Care Services’ 16 4 “Uniform Method of Determining Ability to Pay” (UMDAP) procedure or by any other payment 17 5 procedure as approved in advance, and in writing by ADMINISTRATOR; and in accordance with Title 18 6 9 of the California Code of Regulations. Such fee shall not exceed the actual cost of services provided. 19 7 No client shall be denied services because of an inability to pay. 20 8 B. THIRD-PARTY REVENUE – CONTRACTOR shall make every reasonable effort to obtain all 21 9 available third-party reimbursement for which persons served pursuant to this Agreement may be 22 10 eligible. Charges to insurance carriers shall be on the basis of CONTRACTOR’s usual and customary 23 11 charges. 24 12 C. PROCEDURES – CONTRACTOR shall maintain internal financial controls which adequately 25 13 ensure proper billing and collection procedures. CONTRACTOR’s procedures shall specifically 26 14 provide for the identification of delinquent accounts and methods for pursuing such accounts. 27 15 CONTRACTOR shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 16 status of fees which are billed, collected, transferred to a collection agency, or deemed by 29 17 CONTRACTOR to be uncollectible. 30 18 D. OTHER REVENUES – CONTRACTOR shall charge for services, supplies, or facility use by 31 19 persons other than individuals or groups eligible for services pursuant to this Agreement. 3220

REVENUE. 12 18 A. CLIENT FEES – CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a fee to 13 19 clients to whom billable services, other than those amounts reimbursed by Medicare, Medi-Cal or other 14 20 third party health plans, are provided pursuant to this Agreement, their estates and responsible relatives, 15 21 according to their ability to pay as determined by the State Department of Health Care Services’ 16 22 “Uniform Method of Determining Ability to Pay” (UMDAP) procedure or by any other payment 17 23 procedure as approved in advance, and in writing by ADMINISTRATOR; and in accordance with Title 18 24 9 of the California Code of Regulations. Such fee shall not exceed the actual cost of services provided. 19 25 No client shall be denied services because of an inability to pay. 20 26 B. THIRD-PARTY REVENUE – CONTRACTOR shall make every reasonable effort to obtain all 21 27 available third-party reimbursement for which persons served pursuant to this Agreement may be 22 28 eligible. Charges to insurance carriers shall be on the basis of CONTRACTOR’s usual and customary 23 29 charges. 24 30 C. PROCEDURES – CONTRACTOR shall maintain internal financial controls which adequately 25 31 ensure proper billing and collection procedures. CONTRACTOR’s procedures shall specifically 26 32 provide for the identification of delinquent accounts and methods for pursuing such accounts. 27 33 CONTRACTOR shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 34 status of fees which are billed, collected, transferred to a collection agency, or deemed by 29 35 CONTRACTOR to be uncollectible. 30 36 D. OTHER REVENUES – CONTRACTOR shall charge for services, supplies, or facility use by 31 37 persons other than individuals or groups eligible for services pursuant to this Agreement. 32.

REVENUE. 12 9 A. CLIENT FEES – CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a fee to 13 clients 10 Clients to whom billable services, other than those amounts reimbursed by Medicare, Medi-Cal or other 14 11 third party health plans, are provided pursuant to this Agreement, their estates and responsible relatives, 15 12 according to their ability to pay as determined by the State Department of Health Care Services’ 16 13 “Uniform Method of Determining Ability to Pay” (UMDAP) procedure or by any other payment 17 14 procedure as approved in advance, and in writing by ADMINISTRATOR; and in accordance with Title 18 9 15 of the California Code of Regulations. Such fee shall not exceed the actual cost of services provided. 19 16 No client Client shall be denied services because of an inability to pay. 20 17 B. THIRD-PARTY REVENUE – CONTRACTOR shall make every reasonable effort to obtain all 21 18 available third-party reimbursement for which persons served pursuant to this Agreement may be 22 19 eligible. Charges to insurance carriers shall be on the basis of CONTRACTOR’s usual and customary 23 20 charges. 24 21 C. PROCEDURES – CONTRACTOR shall maintain internal financial controls which adequately 25 22 ensure proper billing and collection procedures. CONTRACTOR’s procedures shall specifically 26 provide 23 for the identification of delinquent accounts and methods for pursuing such accounts. 27 CONTRACTOR 24 shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 status of fees which 25 are billed, collected, transferred to a collection agency, or deemed by 29 CONTRACTOR to be 26 uncollectible. 30 27 D. OTHER REVENUES – CONTRACTOR shall charge for services, supplies, or facility use by 31 28 persons other than individuals or groups eligible for services pursuant to this Agreement. 3229

REVENUE. 12 11 A. CLIENT FEES – CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a fee to 13 12 clients to whom billable services, other than those amounts reimbursed by Medicare, Medi-Cal or other 14 13 third party health plans, are provided pursuant to this Agreement, their estates and responsible relatives, 15 14 according to their ability to pay as determined by the State Department of Health Care Services’ 16 15 “Uniform Method of Determining Ability to Pay” (UMDAP) procedure or by any other payment 17 16 procedure as approved in advance, and in writing by ADMINISTRATOR; and in accordance with Title 18 17 9 of the California Code of Regulations. Such fee shall not exceed the actual cost of services provided. 19 18 No client shall be denied services because of an inability to pay. 20 19 B. THIRD-PARTY REVENUE – CONTRACTOR shall make every reasonable effort to obtain all 21 20 available third-party reimbursement for which persons served pursuant to this Agreement may be 22 21 eligible. Charges to insurance carriers shall be on the basis of CONTRACTOR’s usual and customary 23 22 charges. 24 23 C. PROCEDURES – CONTRACTOR shall maintain internal financial controls which adequately 25 24 ensure proper billing and collection procedures. CONTRACTOR’s procedures shall specifically 26 provide 25 for the identification of delinquent accounts and methods for pursuing such accounts. 27 CONTRACTOR 26 shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 status of fees which 27 are billed, collected, transferred to a collection agency, or deemed by 29 CONTRACTOR to be 28 uncollectible. 30 29 D. OTHER REVENUES – CONTRACTOR shall charge for services, supplies, or facility use by 31 30 persons other than individuals or groups eligible for services pursuant to this Agreement. 3231

REVENUE. 12 4 A. CLIENT FEES – CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a fee to 13 5 clients to whom billable services, other than those amounts reimbursed by Medicare, Medi-Cal or other 14 6 third party health plans, are provided pursuant to this Agreement, their estates and responsible relatives, 15 7 according to their ability to pay as determined by the State Department of Health Care Services’ 16 8 “Uniform Method of Determining Ability to Pay” (UMDAP) procedure or by any other payment 17 9 procedure as approved in advance, and in writing by ADMINISTRATOR; and in accordance with Title 18 10 9 of the California Code of Regulations. Such fee shall not exceed the actual cost of services provided. 19 11 No client shall be denied services because of an inability to pay. 20 12 B. THIRD-PARTY REVENUE – CONTRACTOR shall make every reasonable effort to obtain all 21 13 available third-party reimbursement for which persons served pursuant to this Agreement may be 22 14 eligible. Charges to insurance carriers shall be on the basis of CONTRACTOR’s usual and customary 23 15 charges. 24 16 C. PROCEDURES – CONTRACTOR shall maintain internal financial controls which adequately 25 17 ensure proper billing and collection procedures. CONTRACTOR’s procedures shall specifically 26 18 provide for the identification of delinquent accounts and methods for pursuing such accounts. 27 19 CONTRACTOR shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 20 status of fees which are billed, collected, transferred to a collection agency, or deemed by 29 21 CONTRACTOR to be uncollectible. 30 22 D. OTHER REVENUES – CONTRACTOR shall charge for services, supplies, or facility use by 31 23 persons other than individuals or groups eligible for services pursuant to this Agreement. 3224

REVENUE. 12 20 A. CLIENT FEES – CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a fee to 13 21 clients to whom billable services, other than those amounts reimbursed by Medicare, Medi-Cal or other 14 22 third party health plans, are provided pursuant to this Agreement, their estates and responsible relatives, 15 23 according to their ability to pay as determined by the State Department of Health Care ServicesSe rvices’ 16 24 “Uniform Method of Determining Ability to Pay” (UMDAP) procedure or by any other payment 17 25 procedure as approved in advance, and in writing by ADMINISTRATOR; and in accordance with Title 18 26 9 of the California Code of Regulations. Such fee shall not exceed the actual cost of services provided. 19 27 No client shall be denied services because of an inability to pay. 20 28 B. THIRD-PARTY REVENUE – CONTRACTOR shall make every reasonable effort to obtain all 21 29 available third-party reimbursement for which persons served pursuant to this Agreement may be 22 30 eligible. Charges to insurance carriers shall be on the basis of CONTRACTOR’s usual and customary 23 31 charges. 24 32 C. PROCEDURES – CONTRACTOR shall maintain internal financial controls which adequately 25 33 ensure proper billing and collection procedures. CONTRACTOR’s procedures shall specifically 26 34 provide for the identification of delinquent accounts and methods for pursuing such accounts. 27 35 CONTRACTOR shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 36 status of fees which are billed, collected, transferred to a collection agency, or deemed by 29 37 CONTRACTOR to be uncollectible. 30 1 D. OTHER REVENUES – CONTRACTOR shall charge for services, supplies, or facility use by 31 2 persons other than individuals or groups eligible for services pursuant to this Agreement. 323

REVENUE. 12 2 A. CLIENT FEES – CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a fee to 13 clients 3 Clients to whom billable services, other than those amounts reimbursed by Medicare, Medi-Cal or other 14 4 third party health plans, are provided pursuant to this AgreementContract, their estates and responsible relatives, 15 5 according to their ability to pay as determined by the State Department of Health Care Services’ 16 “Uniform 6 Method of Determining Ability to Pay” (UMDAP) procedure or by any other payment 17 procedure as approved in 7 advance, and in writing by ADMINISTRATOR; and in accordance with Title 18 9 of the California Code of RegulationsCCR. Such fee 8 shall not exceed the actual cost of services provided. 19 No client Client shall be denied services because of an 9 inability to pay. 20 10 B. THIRD-PARTY REVENUE – CONTRACTOR shall make every reasonable effort to obtain all 21 11 available third-party reimbursement for which persons served pursuant to this Agreement Contract may be 22 eligible. 12 Charges to insurance carriers shall be on the basis of CONTRACTOR’s usual and customary 23 charges. 24 13 C. PROCEDURES – CONTRACTOR shall maintain internal financial controls which adequately 25 14 ensure proper billing and collection procedures. CONTRACTOR’s procedures shall specifically 26 provide 15 for the identification of delinquent accounts and methods for pursuing such accounts. 27 CONTRACTOR 16 shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 status of fees which 17 are billed, collected, transferred to a collection agency, or deemed by 29 CONTRACTOR to be uncollectible. 30 18 D. OTHER REVENUES – CONTRACTOR shall charge for services, supplies, or facility use by 31 19 persons other than individuals or groups eligible for services pursuant to this AgreementContract. 3220

REVENUE. 12 8 A. CLIENT FEES – CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a fee to 13 9 clients to whom billable services, other than those amounts reimbursed by Medicare, Medi-Cal or 10 Servicesor other 14 third party health plans, are provided pursuant to this Agreement, their estates and 11 responsible relatives, 15 according to their ability to pay as determined by the State Department of Health Care Services’ 16 “Uniform Method of Determining Ability to Pay” (UMDAP) Mental 13 procedure or by any other payment 17 procedure as approved in advance, and in writing by 14 ADMINISTRATOR; and in accordance with Title 18 9 of the California Code of Regulations. Such fee 15 shall not exceed the actual cost of services provided. 19 No client shall be denied services because of an 16 inability to pay. 20 17 B. THIRD-PARTY REVENUE – CONTRACTOR shall make every reasonable effort to obtain all 21 18 available third-party reimbursement for which persons served pursuant hereunderpursuant to this Agreement may 19 be 22 eligible. Charges to insurance carriers shall be on the basis of CONTRACTOR’s usual and 20 customary 23 charges. 24 21 C. PROCEDURES – CONTRACTOR shall maintain internal financial controls which adequately 25 22 ensure proper billing and collection procedures. CONTRACTOR’s procedures shall specifically 26 provide 23 for the identification of delinquent accounts and methods for pursuing such accounts. 27 CONTRACTOR 24 shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 status of fees which 25 are billed, collected, transferred to a collection agency, or deemed by 29 CONTRACTOR to be 26 uncollectible. . 27 // 28 // 29 // 30 // 31 // 32 // 33 D. OTHER REVENUES – CONTRACTOR shall charge for services, supplies, or facility use by 31 34 persons other than individuals or groups eligible for services pursuant to this Agreement. 3235

REVENUE. 12 15 A. CLIENT FEES – CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a fee to 13 16 clients to whom billable services, other than those amounts reimbursed by Medicare, Medi-Cal or other 14 17 third party health plans, are provided pursuant to this Agreement, their estates and responsible relatives, 15 18 according to their ability to pay as determined by the State Department of Health Care Services’ 16 19 “Uniform Method of Determining Ability to Pay” (UMDAP) procedure or by any other payment 17 20 procedure as approved in advance, and in writing by ADMINISTRATOR; and in accordance with Title 18 21 9 of the California Code of Regulations. Such fee shall not exceed the actual cost of services provided. 19 22 No client shall be denied services because of an inability to pay. 20 23 B. THIRD-PARTY REVENUE – CONTRACTOR shall make every reasonable effort to obtain all 21 24 available third-party reimbursement for which persons served pursuant to this Agreement may be 22 25 eligible. Charges to insurance carriers shall be on the basis of CONTRACTOR’s usual and customary 23 26 charges. 24 27 C. PROCEDURES – CONTRACTOR shall maintain internal financial controls which adequately 25 28 ensure proper billing and collection procedures. CONTRACTOR’s procedures shall specifically 26 29 provide for the identification of delinquent accounts and methods for pursuing such accounts. 27 30 CONTRACTOR shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 31 status of fees which are billed, collected, transferred to a collection agency, or deemed by 29 32 CONTRACTOR to be uncollectible. 30 33 D. OTHER REVENUES – CONTRACTOR shall charge for services, supplies, or facility use by 31 34 persons other than individuals or groups eligible for services pursuant to this Agreement. 3235 // 36 // 37 //

REVENUE. 12 18 A. CLIENT FEES – CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a fee to 13 19 clients to whom billable services, other than those amounts reimbursed by Medicare, Medi-Cal or other 14 20 third party health plans, are provided pursuant to this Agreement, their estates and responsible relatives, 15 21 according to their ability to pay as determined by the State Department of Health Care Services’ 16 22 “Uniform Method of Determining Ability to Pay” (UMDAP) procedure or by any other payment 17 23 procedure as approved in advance, and in writing by ADMINISTRATOR; and in accordance with Title 18 24 9 of the California Code of Regulations. Such fee shall not exceed the actual cost of services provided. 19 25 No client shall be denied services because of an inability to pay. 20 26 B. THIRD-PARTY REVENUE – CONTRACTOR shall make every reasonable effort to obtain all 21 27 available third-party reimbursement for which persons served pursuant to this Agreement may be 22 28 eligible. Charges to insurance carriers shall be on the basis of CONTRACTOR’s usual and customary 23 29 charges. 24 30 C. PROCEDURES – CONTRACTOR shall maintain internal financial controls which adequately 25 31 ensure proper billing and collection procedures. CONTRACTOR’s procedures shall specifically 26 provide 32 for the identification of delinquent accounts and methods for pursuing such accounts. 27 CONTRACTOR 33 shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 status of fees which 34 are billed, collected, transferred to a collection agency, or deemed by 29 CONTRACTOR to be 35 uncollectible. 30 36 D. OTHER REVENUES – CONTRACTOR shall charge for services, supplies, or facility use by 31 37 persons other than individuals or groups eligible for services pursuant to this Agreement. 32.

REVENUE. 12 31 A. CLIENT FEES – CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a fee to 13 clients 32 Clients to whom billable services, other than those amounts reimbursed by Medicare, Medi-Cal or other 14 33 third party health plans, are provided pursuant to this Agreement, their estates and responsible relatives, 15 34 according to their ability to pay as determined by the State Department of Health Care Services’ 16 35 “Uniform Method of Determining Ability to Pay” (UMDAP) procedure or by any other payment 17 procedure as 36 approved in advance, and in writing by ADMINISTRATOR; and in accordance with Title 18 9 of the California Code of RegulationsCCR. 37 // 1 Such fee shall not exceed the actual cost of services provided. 19 No client Client shall be denied services 2 because of an inability to pay. 20 3 B. THIRD-PARTY REVENUE – CONTRACTOR shall make every reasonable effort to obtain all 21 4 available third-party reimbursement for which persons served pursuant to this Agreement may be 22 5 eligible. Charges to insurance carriers shall be on the basis of CONTRACTOR’s usual and customary 23 6 charges. 24 7 C. PROCEDURES – CONTRACTOR shall maintain internal financial controls which adequately 25 8 ensure proper billing and collection procedures. CONTRACTOR’s procedures shall specifically 26 provide 9 for the identification of delinquent accounts and methods for pursuing such accounts. 27 CONTRACTOR 10 shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 status of fees which 11 are billed, collected, transferred to a collection agency, or deemed by 29 CONTRACTOR to be 12 uncollectible. 30 13 D. OTHER REVENUES – CONTRACTOR shall charge for services, supplies, or facility use by 31 14 persons other than individuals or groups eligible for services pursuant to this Agreement. 3215

REVENUE. 12 10 A. CLIENT FEES – CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a fee to 13 clients 11 Clients to whom billable services, other than those amounts reimbursed by Medicare, Medi-Cal or other 14 12 third party health plans, are provided pursuant to this Agreement, their estates and responsible relatives, 15 13 according to their ability to pay as determined by the State Department of Health Care Services’ 16 14 “Uniform Method of Determining Ability to Pay” (UMDAP) procedure or by any other payment 17 procedure as 15 approved in advance, and in writing by ADMINISTRATOR; and in accordance with Title 18 9 of the California Code of RegulationsCCR. 16 Such fee shall not exceed the actual cost of services provided. 19 No client Client shall be denied services 17 because of an inability to pay. 20 18 B. THIRD-PARTY REVENUE – CONTRACTOR shall make every reasonable effort to obtain all 21 19 available third-party reimbursement for which persons served pursuant to this Agreement may be 22 20 eligible. Charges to insurance carriers shall be on the basis of CONTRACTOR’s usual and customary 23 21 charges. 24 22 C. PROCEDURES – CONTRACTOR shall maintain internal financial controls which adequately 25 23 ensure proper billing and collection procedures. CONTRACTOR’s procedures shall specifically 26 24 provide for the identification of delinquent accounts and methods for pursuing such accounts. 27 25 CONTRACTOR shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 26 status of fees which are billed, collected, transferred to a collection agency, or deemed by 29 27 CONTRACTOR to be uncollectible. 30 28 D. OTHER REVENUES – CONTRACTOR shall charge for services, supplies, or facility use by 31 29 persons other than individuals or groups eligible for services pursuant to this Agreement. 3230 32 If a court of competent jurisdiction declares any provision of this Agreement or application thereof 33 to any person or circumstances to be invalid or if any provision of this Agreement contravenes any 34 federal, state or county statute, ordinance, or regulation, the remaining provisions of this Agreement or 35 the application thereof shall remain valid, and the remaining provisions of this Agreement shall remain 36 in full force and effect, and to that extent the provisions of this Agreement are severable. 37

REVENUE. 12 10 A. CLIENT FEES – CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a fee to 13 clients Clients to whom billable services, other than those amounts reimbursed by Medicare, Medi-Cal or other 14 11 third party health plans, are provided pursuant to this Agreement, their estates and responsible relatives, 15 according to their ability to pay as determined by the State Department of Health Care Services’ 16 “Uniform 12 Method of Determining Ability to Pay” (UMDAP) procedure or by any other payment 17 procedure as approved in advance, and in writing by ADMINISTRATOR; and in accordance with Title 18 9 of the California Code of RegulationsCCR. Such fee shall 13 not exceed the actual cost of services provided. 19 No client Client shall be denied services because of an inability to pay. 20 14 B. THIRD-PARTY REVENUE – CONTRACTOR shall make every reasonable effort to obtain all 21 available third-party reimbursement for which persons served pursuant to this Agreement may be 22 eligible. 15 Charges to insurance carriers shall be on the basis of CONTRACTOR’s usual and customary 23 charges. 24 16 C. PROCEDURES – CONTRACTOR shall maintain internal financial controls which adequately 25 ensure proper billing and collection procedures. CONTRACTOR’s procedures shall specifically 26 provide 17 for the identification of delinquent accounts and methods for pursuing such accounts. 27 CONTRACTOR shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 status of fees which are 18 billed, collected, transferred to a collection agency, or deemed by 29 CONTRACTOR to be uncollectible. 30 19 D. OTHER REVENUES – CONTRACTOR shall charge for services, supplies, or facility use by 31 persons other than individuals or groups eligible for services pursuant to this Agreement. 32.

REVENUE. 12 18 A. CLIENT FEES – CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a fee to 13 19 clients to whom billable services, other than those amounts reimbursed by Medicare, Medi-Cal or other 14 20 third party health plans, are provided pursuant to this Agreement, their estates and responsible relatives, 15 21 according to their ability to pay as determined by the State Department of Health Care Services’ 16 22 “Uniform Method of Determining Ability to Pay” (UMDAP) procedure or by any other payment 17 23 procedure as approved in advance, and in writing by ADMINISTRATOR; and in accordance with Title 18 24 9 of the California Code of Regulations. Such fee shall not exceed the actual cost of services provided. 19 25 No client shall be denied services because of an inability to pay. 20 26 B. THIRD-PARTY REVENUE – CONTRACTOR shall make every reasonable effort to obtain all 21 27 available third-party reimbursement for which persons served pursuant to this Agreement may be 22 28 eligible. Charges to insurance carriers shall be on the basis of CONTRACTOR’s usual and customary 23 29 charges. 24 30 C. PROCEDURES – CONTRACTOR shall maintain internal financial controls which adequately 25 31 ensure proper billing and collection procedures. CONTRACTOR’s procedures procedur es shall specifically 26 32 provide for the identification of delinquent accounts and methods for pursuing such accounts. 27 33 CONTRACTOR shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 34 status of fees which are billed, collected, transferred transf erred to a collection agency, or deemed by 29 35 CONTRACTOR to be uncollectible. 30 36 D. OTHER REVENUES – CONTRACTOR shall charge for services, supplies, or facility use by 31 37 persons other than individuals or groups eligible for services pursuant to this Agreement. 32.

REVENUE. 12 6 A. CLIENT FEES – CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a fee to 13 7 clients to whom billable services, other than those amounts reimbursed by Medicare, Medi-Cal or other 14 8 third party health plans, are provided pursuant to this Agreement, their estates and responsible relatives, 15 9 according to their ability to pay as determined by the State Department of Health Care Services’ 16 “Uniform Method of Determining Ability to Pay” (UMDAP) DHCS UMDAP procedure or by any other 10 payment 17 procedure as approved in advance, and in writing by ADMINISTRATOR; and in accordance 11 with Title 18 9 of the California Code of RegulationsCCR. Such fee shall not exceed the actual cost of services provided. 19 No client shall 12 be denied services because of an inability to pay. 20 13 B. THIRD-PARTY REVENUE – CONTRACTOR shall make every reasonable effort to obtain all 21 14 available third-party reimbursement for which persons served pursuant to this Agreement may be 22 15 eligible. Charges to insurance carriers shall be on the basis of CONTRACTOR’s usual and customary 23 16 charges. 24 17 C. PROCEDURES – CONTRACTOR shall maintain internal financial controls which adequately 25 18 ensure proper billing and collection procedures. CONTRACTOR’s procedures shall specifically 26 provide 19 for the identification of delinquent accounts and methods for pursuing such accounts. 27 CONTRACTOR 20 shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 status of fees which 21 are billed, collected, transferred to a collection agency, or deemed by 29 CONTRACTOR to be 22 uncollectible. 30 23 D. OTHER REVENUES – CONTRACTOR shall charge for services, supplies, or facility use by 31 24 persons other than individuals or groups eligible for services pursuant to this Agreement. 3225

REVENUE. 12 11 A. CLIENT FEES – CONTRACTOR shall charge, unless waived by ADMINISTRATOR, a fee to 13 12 clients to whom billable services, other than those amounts reimbursed by Medicare, Medi-Cal or other 14 13 third party health plans, are provided pursuant to this Agreement, their estates and responsible relatives, 15 14 according to their ability to pay as determined by the State Department of Health Care ServicesDHCS’ 16 “Uniform Method of Determining Ability to Pay” (UMDAP) UMDAP procedure or by any other payment 17 15 procedure as approved in advance, and in writing by ADMINISTRATOR; and in accordance with 16 Title 18 9 of the California Code of RegulationsCCR. Such fee shall not exceed the actual cost of services provided. 19 No client shall be 17 denied services because of an inability to pay. 20 18 B. THIRD-PARTY REVENUE – CONTRACTOR shall make every reasonable effort to obtain all 21 19 available third-party reimbursement for which persons served pursuant to this Agreement may be 22 20 eligible. Charges to insurance carriers shall be on the basis of CONTRACTOR’s usual and customary 23 21 charges. 24 22 C. PROCEDURES – CONTRACTOR shall maintain internal financial controls which adequately 25 23 ensure proper billing and collection procedures. CONTRACTOR’s procedures shall specifically 26 24 provide for the identification of delinquent accounts and methods for pursuing such accounts. 27 25 CONTRACTOR shall provide ADMINISTRATOR, monthly, a written report specifying the current 28 26 status of fees which are billed, collected, transferred to a collection agency, or deemed by 29 27 CONTRACTOR to be uncollectible. 30 28 D. OTHER REVENUES – CONTRACTOR shall charge for services, supplies, or facility use by 31 29 persons other than individuals or groups eligible for services pursuant to this Agreement. 3230