CS249004_Pharmacy_Exhibit_B_.pdf

CS249004

EXHIBIT B

BUDGET DETAIL AND PAYMENT PROVISIONS

1. Payment Provisions

A. Various Rates

Upon submission of an invoice, stating the services provided, the time period covered, and the Agreement number, Contractor shall be paid in arrears monthly at the rates specified herein or attached hereto, for services performed in a manner acceptable to the State.

Payments shall be made after receipt of notification from the Project Representative that acceptable work has been performed by Contractor for a given month. Invoices shall be sent to the Project Representative. Send invoices to:

Canyon Springs Attn: Accounting Office 69696 Ramon Road Cathedral City CA 92234

Payments to Contractor, as specified herein, shall include all taxes, federal, state, and local, payable by Contractor by reason of this Agreement.

B. Medi-Cal/Medicare Payment

Contractor agrees to bill Medi-Cal and/or Medicare or other 3rd party payer for services provided under this Agreement. Payment received from Medi-Cal and/or Medicare shall be accepted as payment in full. Contractor shall not bill the State for services rendered to Medi- Cal or Medicare clients due to the failure of Contractor to properly submit appropriate billing that may be required for reimbursement. The State shall provide Contractor with the information needed to bill 3rd party payers.

The State agrees to pay Contractor only for services to clients who are not covered by Medi- Cal and/or Medicare or another 3rd party payer. The rates paid by the State will be Contractor’s bid rates as specified herein or attached hereto. Contractor shall be paid monthly in arrears for services performed in a manner acceptable to the State. To receive reimbursement, submit an invoice with the Agreement number, services provided, name(s) of client, and time period covered to:

Canyon Springs Attn: Accounting Office 69696 Ramon Road Cathedral City CA 92234

2. Budget Contingency Clause

It is mutually agreed that if the Budget Act of the current fiscal year and/or any subsequent fiscal years covered under this Agreement does not appropriate sufficient funds for this program, this Agreement shall be of no further force and effect. In this event, the State shall have no liability to pay any funds whatsoever to Contractor or to furnish any other considerations under this Agreement and Contractor shall not be obligated to perform any provisions of this Agreement.

If funding for any fiscal year is reduced or deleted by the Budget Act for purposes of this program, the State shall have the option to either cancel this Agreement with no liability occurring to the State or offer an amendment to Contractor to reflect the reduced amount.

3. Agreement Budget Changes

If this Agreement contains a budget, all proposed transfers between individual line items and additions or deletions of line items shall be requested in writing to the appropriate Project representative. A budget line-item changes greater than 10% or $10,000, whichever is less, shall require an amendment to be effective. Such requests shall contain an explanation of the need for the change, identification of the line items to be changed, and a revised budget. The State reserves the right to deny any request for line-item transfers, additions, or deletions.

4. Accounting Procedures

Contractor shall establish and maintain fiscal control and accounting procedures as may be necessary to assure proper accounting for all funds under this Agreement.

5. Prompt Payment Act

All payments shall be made in accordance with the California Prompt Payment Act.

(Government Code Section 927 et seq.)

6. Payment Rates

A. House Stock/Supply: WAC +% + $ (Dispense fee $ Minimum)

B. Brand Medications: WAC + % + $ (Dispensing fee $ Minimum)

C. Generic Medication: AWP - % + $ (Dispensing fee $ Minimum)

D. Over the Counter: AAC + % + $ (Dispensing fee $ Minimum)

E. Consulting Services Hourly Rate $

F. Licensed Bed Medical Record Fee: $ (Per bed per month)