Standards For Program And Financial Management Sample Clauses

Standards For Program And Financial Management. 8.1 Grantee will develop, implement, and maintain program management, financial management, and control systems that meet or exceed the requirements of the “Uniform Grant and Contract Management Act,” Texas Government Code Chapter 783, and UGMS, adopted by reference in their entirety, and applicable federal and state laws, regulations and policies. These requirements will include at a minimum: 8.1.1 financial planning, including the development of budgets that adequately reflect all functions and resources necessary to carry out authorized activities and the adequate determination of costs; 8.1.2 financial management systems including accurate, correct, and complete payroll, accounting, and financial reporting records; cost source documentation; effective internal and budgetary controls; determination of reasonableness, allowableness, and appropriateness of allocation of costs; and timely and appropriate audits and resolution of any findings; 8.1.3 program management systems including, but not limited to: accurate, auditable, correct and complete records of service access and service delivery; oversight of program’s compliance with all applicable laws, policies, and regulations; oversight of the program’s required performance standards and measures; systems to ensure the effective and efficient use of resources to deliver services to children and their families; and oversight for accepting referrals and initiating pre-enrollment processes that require that referral information be transferred to the appropriate Grantee within two business days if the family resides in another ECI Grantee’s service area; 8.1.4 written policies and procedures for third party billing in accordance with the requirements specified in the ECI rules and contract, including a system to effectively and efficiently bill available and appropriate third party payors and follow up with third party payors if claims are denied or not paid timely. A third party payor is any person or entity who has the legal responsibility for paying all or part of the services provided, including, but not limited to Medicaid, Children’s Health Insurance Program (“CHIP”), Children with Special Health Care Needs (“CSHCN”), private insurance carriers, managed care providers, and other available federal, state, local and private funding sources; and 8.1.5 billing and collection policies for implementing a family cost share system as required by TAC Title 40, Part 2, Chapter 108, Subchapter N. 8.2 Grantee and ...
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