Common use of REPORTING AND SUBMISSION REQUIREMENTS Clause in Contracts

REPORTING AND SUBMISSION REQUIREMENTS. A. Grantee shall submit required reports of monitoring activities to HHSC by the applicable due date outlined below. The following reports must be submitted to HHSC through GlobalScape EFT (▇▇▇▇▇://▇▇▇▇.▇▇▇.▇▇▇▇▇.▇▇▇/) and CMBHS by the required due date and report name described in Table 1: Reporting and Submission Requirements: 1. Grantee shall submit all documents listed in Table 1 by the Due Date stated. 2. Grantee will note that if the due date is on a weekend or holiday, the due date is the following business day. 3. Grantee shall submit monthly clams in Clinical Management for Behavioral Health Services (CMBHS) by the 15th of the following month. 4. Grantee shall submit annual Contract Closeout documentation each fiscal year with a final contract closeout due October 15 of the final contract year. 5. Grantee shall submit a CMBHS Security Attestation Form electronically on or before September 15th and March 15th to the designated folder in GlobalScape EFT. 6. ▇▇▇▇▇▇▇’s duty to submit documents will survive the termination or expiration of this Contract. B. HHSC will monitor ▇▇▇▇▇▇▇’s performance of the requirements in this Attachment and compliance with the Contract’s terms and conditions. Requirement Deliverable (Report Name) Due Date Submission System

REPORTING AND SUBMISSION REQUIREMENTS. A. Grantee ▇. ▇▇▇▇▇▇▇ shall submit required reports of monitoring activities to HHSC by the applicable due date outlined below. The following reports must be submitted to HHSC through GlobalScape EFT (▇▇▇▇▇://▇▇▇▇.▇▇▇.▇▇▇▇▇.▇▇▇/) and CMBHS by the required due date and report name described in Table 1: Reporting and Submission Requirements: 1. Grantee shall submit all documents listed in Table 1 by the Due Date stated. 2. Grantee will note that if the due date is on a weekend or holiday, the due date is the following business day. 3. Grantee shall submit monthly clams in Clinical Management for Behavioral Health Services (CMBHS) by the 15th of the following month. 4. Grantee shall submit annual Contract Closeout documentation each fiscal year with a final contract closeout due October 15 of the final contract year. 5. Grantee shall submit a CMBHS Security Attestation Form electronically on or before September 15th and March 15th to the designated folder in GlobalScape EFT. 6. ▇▇▇▇▇▇▇’s duty to submit documents will survive the termination or expiration of this Contract. B. HHSC will monitor ▇▇▇▇▇▇▇’s performance of the requirements in this Attachment and compliance with the Contract’s terms and conditions. Requirement Deliverable (Report Name) Due Date Submission System

REPORTING AND SUBMISSION REQUIREMENTS. A. 1. Grantee shall submit required reports of monitoring activities to HHSC by the applicable due date outlined below. The following reports must be submitted to HHSC through GlobalScape EFT (▇▇▇▇▇://▇▇▇▇.▇▇▇.▇▇▇▇▇.▇▇▇/) and CMBHS by the required due date and report name described in Table 1: Reporting and Submission Requirements: 1. a. Grantee shall submit all documents listed in Table 1 by the Due Date stated. 2. b. Grantee will note that if the due date is on a weekend or holiday, the due date is the following business day. 3. c. Grantee shall submit monthly clams in Clinical Management for Behavioral Health Services (CMBHS) by the 15th of the following month. 4. d. Grantee shall submit annual Contract Closeout documentation each fiscal year with a final contract closeout due October 15 of the final contract year. 5. e. Grantee shall submit a CMBHS Security Attestation Form electronically on or before September 15th and March 15th to the designated folder in GlobalScape EFT. 6. f. ▇▇▇▇▇▇▇’s duty to submit documents will survive the termination or expiration of this Contract. B. 2. HHSC will monitor ▇▇▇▇▇▇▇’s performance of the requirements in this Attachment A and compliance with the Contract’s terms and conditions. Requirement Deliverable (Report Name) Due Date Submission System.

REPORTING AND SUBMISSION REQUIREMENTS. A. 1. Grantee shall submit required reports of monitoring activities to HHSC System Agency by the applicable due date outlined below. The following reports must be submitted to HHSC System Agency through GlobalScape EFT (▇▇▇▇▇://▇▇▇▇.▇▇▇.▇▇▇▇▇.▇▇▇/) and or CMBHS by the required due date and report name described in Table 1: Reporting and Submission Requirements: 1. a. Grantee shall submit all documents listed in Table 1 by the Due Date stated. 2. b. Grantee will note that if the due date is on a weekend or holiday, the due date is the following business day. 3. c. Grantee shall submit monthly clams in Clinical Management for Behavioral Health Services (CMBHS) by the 15th of the following month. 4. d. Grantee shall submit annual Contract Closeout documentation each fiscal year with a final contract closeout due October 15 of the final contract year. 5. e. Grantee shall submit a CMBHS Security Attestation Form electronically on or before September 15th and March 15th to the designated folder in GlobalScape EFT. 6. f. ▇▇▇▇▇▇▇’s duty to submit documents will survive the termination or expiration of this Contract. B. HHSC 2. System Agency will monitor ▇▇▇▇▇▇▇’s performance of the requirements in this Attachment A and compliance with the Contract’s terms and conditions. Requirement Deliverable (Report Name) Due Date Submission SystemSection IV Claims in CMBHS All claims must be entered monthly by the 15th of the following month. CMBHS

REPORTING AND SUBMISSION REQUIREMENTS. A. 1. Grantee shall submit required reports of monitoring activities to HHSC System Agency by the applicable due date outlined below. The following reports must be submitted to HHSC System Agency through GlobalScape EFT (▇▇▇▇▇://▇▇▇▇.▇▇▇.▇▇▇▇▇.▇▇▇/) and or CMBHS by the required due date and report name described in Table 1: Reporting and Submission Requirements: 1. i. Grantee shall submit all documents listed in Table 1 by the Due Date stated. 2ii. Grantee will note that if the due date is on a weekend or holiday, the due date is the following business day. 3iii. Grantee shall submit monthly clams in Clinical Management for Behavioral Health Services (CMBHS) by the 15th of the following month. 4iv. Grantee shall submit annual Contract Closeout documentation each fiscal year with a final contract closeout due October 15 of the final contract year. 5. v. Grantee shall submit a CMBHS Security Attestation Form electronically on or before September 15th and March 15th to the designated folder in GlobalScape EFT. 6vi. ▇▇▇▇▇▇▇’s duty to submit documents will survive the termination or expiration of this Contract. B. HHSC 2. System Agency will monitor ▇▇▇▇▇▇▇’s performance of the requirements in this Attachment A and compliance with the Contract’s terms and conditions. Requirement Deliverable (Report Name) Due Date Submission System.

REPORTING AND SUBMISSION REQUIREMENTS. A. 1. Grantee shall submit required reports of monitoring activities to HHSC System Agency by the applicable due date outlined below. The following reports must be submitted to HHSC System Agency through GlobalScape EFT (▇▇▇▇▇://▇▇▇▇.▇▇▇.▇▇▇▇▇.▇▇▇/) and CMBHS by the required due date and report name described in Table 1: Reporting and Submission Requirements: 1. a. Grantee shall submit all documents listed in Table 1 by the Due Date stated. 2. b. Grantee will note that if the due date is on a weekend or holiday, the due date is the following business day. 3. c. Grantee shall submit monthly clams in Clinical Management for Behavioral Health Services (CMBHS) by the 15th of the following month. 4. d. Grantee shall submit annual Contract Closeout documentation each fiscal year with a final contract closeout due October 15 of the final contract year. 5. e. Grantee shall submit a CMBHS Security Attestation Form electronically on or before September 15th and March 15th to the designated folder in GlobalScape EFT. 6. ▇▇▇▇▇▇▇’s f. Grantee s duty to submit documents will survive the termination or expiration of this Contract. B. HHSC 2. System Agency will monitor ▇▇▇▇▇▇▇’s Grantee performance of the requirements in this Attachment A and compliance with the Contract’s terms and conditionsSection IV Claims in CMBHS All claims must be entered monthly by the 15th of the following month. Requirement Deliverable (Report Name) Due Date Submission SystemCMBHS

REPORTING AND SUBMISSION REQUIREMENTS. A. Grantee shall submit required reports of monitoring activities to HHSC by the applicable due date outlined below. The following reports must be submitted to HHSC through GlobalScape EFT (▇▇▇▇▇://▇▇▇▇.▇▇▇.▇▇▇▇▇.▇▇▇/) and CMBHS by the required due date and report name described in Table 1: Reporting and Submission Requirements: 1. Grantee shall submit all documents listed in Table 1 by the Due Date stated. 2. Grantee will note that if the due date is on a weekend or holiday, the due date is the following business day. 3. Grantee shall submit monthly clams in Clinical Management for Behavioral Health Services (CMBHS) by the 15th of the following month. 4. Grantee shall submit annual Contract Closeout documentation each fiscal year with a final contract closeout due October 15 of the final contract year. 5. Grantee shall submit a CMBHS Security Attestation Form electronically on or before September 15th and March 15th to the designated folder in GlobalScape EFT. 6. ▇▇▇▇▇▇▇Grantee’s duty to submit documents will survive the termination or expiration of this Contract. B. HHSC will monitor ▇▇▇▇▇▇▇Grantee’s performance of the requirements in this Attachment and compliance with the Contract’s terms and conditions. Requirement Deliverable (Report Name) Due Date Submission System