Exhibit_Budget_IFB.pdf

Laboratory Services

PR169001

BUDGET DETAIL AND PAYMENT PROVISIONS

1. Payment Provisions

Upon submission of an invoice, stating the services provided, the time period covered, and the contract number, Contractor shall be paid in arrears monthly for services performed in a manner acceptable to the State at the Cost Per Test prices shown in Exhibit B, Attachment 1. Total budget not to exceed $__________ for the duration of this contract.

Contractor agrees to bill Medi-Cal and/or Medicare Part B, or other third party payer for services provided under this Agreement and in compliance with the laws and regulations applicable to Medi-Cal and/or Medicare billing. 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 Part B 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 third party payers.

The State agrees to pay Contractor only for services to clients who are not covered by Medi-Cal and/or Medicare Part B or other third 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 stating the contract number, services provided, name(s) of client, and time period covered to:

Porterville Developmental Center

Attn: DeeAnn LeVasser

P.O. Box 2000

Porterville, CA 93258-2000

2. Budget Contingency Clause

a. 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.

Laboratory Services

PR169001

b. 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. Contract 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. 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. Refer to Attachment 1 for costs per tests. Needed tests not listed in Attachment 1 shall not exceed $1000.00 per contract year. PDC shall not be billed for shipping and/or handling for tests sent from one contract laboratory to a second reference lab.

4. Prompt Payment Act

All payments shall be made in accordance with the California Prompt Payment Act. (Government Code Section 927 et seq.)

5. Medi-cal and/or Medicare

Contractor agrees to bill Medi-Cal and/or Medicare or other third 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 third party payers.

The State agrees to pay Contractor only for services to clients who are not covered by Medi-Cal and/or Medicare or other third 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.