Common use of Maximum Payments by the Department Clause in Contracts

Maximum Payments by the Department. A. The Contractor shall recognize that Payments made by the Department for treatment of a referred Participant are only intended to be a subsidy to the Contractor and is not intended to cover the Contractor’s full treatment cost. The Contractor shall be cognizant that some Participants have no ability to pay a co-payment for treatment, therefore, the Contractor agrees to accept Department subsidy Payment as full Payment for those Participant’s treatment. B. The Department shall pay a subsidy for identified Participant’s treatment for a maximum of sixty (60) Days from the date of the first (1st) subsidized session attended. The supervising parole officer and the Treatment Provider are responsible for tracking the subsidy period and shall communicate regarding the status of subsidy needs at least two (2) weeks prior to the expiration of the subsidy period. At that time, the supervising parole officer will determine if the Participant should remain on or be removed from subsidy. If the Participant is to remain on subsidy, the supervising parole officer will provide the Contractor/Treatment Provider with the approved extension. C. The Department shall subsidize Payment to the Contractor for one (1) evaluation per a twelve (12) month period for Participants requiring financial assistance. The TDCJ-PD Services Invoice, PMS-34 (Exhibit J.5) shall be utilized by the Contractor for invoicing for evaluations. In accordance with Section G.3.D, subsidy approvals are valid for ninety (90) Days; however, evaluations shall be conducted within the timeframes as noted in Section C.5.C. The Department will not pay for evaluations completed more than ninety (90) Days after the date approval was granted by TDCJ-PD Specialized Programs to conduct the evaluation, unless a subsequent request is sent by the supervising parole officer to TDCJ-PD Specialized Programs and it is approved. D. The Department shall subsidize Payment to the Contractor for one (1) evaluation per Participant, when required by the Department, when the Participant does not have a sex offense, Sex Offender Condition Hearing (SOCH). The TDCJ-PD Services Invoice, PMS-34 (Exhibit J.5) shall be utilized by the Contractor for invoicing for evaluations. In accordance with Section G.3.D, subsidy approvals are valid for ninety (90) Days; however, evaluations shall be conducted within the timeframes as noted in Section

Maximum Payments by the Department. A. The Contractor shall recognize that Payments made by the Department for treatment of a referred Participant are only intended to be a subsidy to the Contractor and is not intended to cover the Contractor’s full treatment cost. The Contractor shall be cognizant that some Participants have no ability to pay a co-payment for treatment, therefore, the Contractor agrees to accept Department subsidy Payment as full Payment for those Participant’s treatment. B. The Department shall pay a subsidy for identified Participant’s treatment for a maximum of sixty (60) Days from the date of the first (1st) subsidized session attended. The supervising parole officer and the Treatment Provider are responsible for tracking the subsidy period and shall communicate regarding the status of subsidy needs at least two (2) weeks prior to the expiration of the subsidy period. At that time, the supervising parole officer will determine if the Participant should remain on or be removed from subsidy. If the Participant is to remain on subsidy, the supervising parole officer will provide the Contractor/Treatment Provider with the approved extension. C. The Department shall subsidize Payment to the Contractor for one (1) evaluation per a twelve (12) month period for Participants requiring financial assistance. The TDCJ-PD Services Invoice, PMS-34 (Exhibit J.5) shall be utilized by the Contractor for invoicing for evaluations. In accordance with Section G.3.D, subsidy approvals are valid for ninety (90) Days; however, evaluations shall be conducted within the timeframes as noted in Section C.5.C. The Department will not pay for evaluations completed more than ninety (90) Days after the date approval was granted by TDCJ-PD Specialized Programs to conduct the evaluation, unless a subsequent request is sent by the supervising parole officer to TDCJ-PD Specialized Programs and it is approved. D. The Department shall subsidize Payment to the Contractor for one (1) evaluation per Participant, when required by the Department, when the Participant does not have a sex offense, Sex Offender Condition Hearing (SOCH). The TDCJ-PD Services Invoice, PMS-34 (Exhibit J.5) shall be utilized by the Contractor for invoicing for evaluations. In accordance with Section G.3.D, subsidy approvals are valid for ninety (90) Days; however, evaluations shall be conducted within the timeframes as noted in SectionSection C.5.C. The Department will not pay for evaluations completed more than ninety (90) Days after the date approval was granted by TDCJ-PD Specialized Programs to conduct the evaluation, unless a subsequent request is sent by the supervising parole officer to TDCJ-PD Specialized Programs and it is approved. E. The Department shall subsidize Payments to the Contractor for weekly group sessions for Participants requiring financial assistance. Payments shall be made on a per Participant group session basis. The Contractor will be paid only for the number of Participants placed in an established group, regardless of whether or not all Participants assigned to that group are present for a particular session. Reference Section G.4.2.B regarding absences. TDCJ-PD, Sex Offender Treatment Attendance Roster & Billing Invoice, PMS-41 (Exhibit J.1) shall be utilized by the Contractor for the invoicing of group sessions. F. The Department shall subsidize Payment to the Contractor for individual sessions for Participants requiring financial assistance who meet the criteria in Section C.5.L. Payments shall be made on a per session, per Participant basis, up to a maximum time allotment of ninety (90) minutes per individual session. The TDCJ-PD Services Invoice, PMS-34 (Exhibit J.5) shall be utilized by the Contractor for invoicing of individual sessions.