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TITLE 26HEALTH AND HUMAN SERVICES
PART 1HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 213AREA AGENCIES ON AGING
SUBCHAPTER AOPERATION OF THE AREA AGENCIES ON AGING
RULE §213.5Compliance with Contractor Responsibilities, Rewards and Sanctions

(a) Background. To the extent feasible, and subject to the availability of funds and other resources, the Department will give rewards to those area agencies on aging which the Department finds have demonstrated exceptional performance. When a contractor has failed to comply with the terms of a contract which governs the use of monies appropriated under that contract, the Texas Department on Aging may take actions, described in this section, as may be legally available and appropriate to the circumstance. It is the intent of this rule to outline the rewards available for compliance with a contract and the sanctions available for non-compliance with contract terms and conditions.

(b) Definitions. Definitions for the terms used in this section are located in §254.1 of this title (relating to the Operation of the Texas Department on Aging) and the definitions for words and terms specific to this chapter shall have the following meanings, unless the context clearly indicates otherwise.

  (1) Level One Sanction - The sanction that the Texas Department on Aging may impose as a response to a contractual breach and/or failure to comply with agency rules and specific state and federal requirements.

  (2) Level Two Sanction - The sanction that the Texas Department on Aging may impose as a response to a severe problem and the potential negative impact such a problem may have on a Contractor's region or the state.

  (3) Level Three Sanction - The sanction that the Texas Department on Aging may impose where a severe and/or continued failure to comply with contractual requirements, agency rules, and/or state and/or federal laws may affect service delivery and/or Contractor financial stability.

  (4) Level Four Sanction - The sanction that the Texas Department on Aging may impose where a severe and/or continued failure to comply with contractual requirements, agency rules, and/or state and/or federal laws continues to go uncorrected.

  (5) Acceptable corrective action plan - Identification of actions to be taken, including a time line, that are acceptable to the Department to correct an identified issue of contractual or legal non- compliance.

  (6) Administrative payments - Payments for general administration of an Area Agency on Aging, including any indirect costs recovery.

  (7) Certified - When used in conjunction with performance measure testing it describes having obtained acceptable results, within tolerances allowed by the State Auditor's Office, for data tested.

  (8) Discretionary funds - Any funds issued by the Department that are not awarded based on a general funding formula or not awarded to all Area Agencies on Aging by action of the Texas Board on Aging.

  (9) Extension - An approved request, which is submitted to the Department on or before the original due date, to submit required reports or other required information later than the established original due date. No more than 2 extensions shall be granted in any one federal fiscal year.

(c) Preventive Maintenance. Preventive maintenance measures, developed to ensure program outcome and provide fiscal accountability, include technical assistance, Program Instructions, timely and effective program and fiscal monitoring, performance measure testing, and quality initiative reviews.

  (1) Technical assistance is performance-driven and outcome-based, stressing the sharing of information and best practice models. Assistance is provided for both fiscal and program issues.

  (2) Program Instructions provide clarification and interpretation of rule and are performance- driven and outcome-based. Program Instructions may be provided for both fiscal and program issues.

  (3) Program and Fiscal Monitoring assistance may include site visits, desk reviews, and analysis of both financial and program outcomes to help identify potential weaknesses before such weaknesses result in sub-standard performance or questioned costs. Monitoring may result in recommendations that provide practical solutions that can be used to take immediate corrective action.

  (4) Performance measure testing is conducted to determine the accuracy of data submitted to the Department and to assess the quality of the controls in place to ensure the consistency of accurate and well-documented data. Certification of performance measure testing should be by design of the controls in place within the system.

  (5) Quality Initiative assistance includes routine evaluation of essential quality indicators and certification systems and will be enhanced with timely and relevant professional training and technical assistance to help develop and maintain the knowledge, skills, and abilities required across program lines.

(d) Contractor Responsibilities. A contractor is responsible for compliance with the terms of the contract and shall:

  (1) comply, as applicable, with all governing documents set forth in §254.3 of this title (relating to Governing Documents);

  (2) comply with the requirements of approved contracts or plans;

  (3) meet the administrative and service requirements as published by the Department, including, but no limited to, all budget documents and required reporting in a timely, complete, and accurate manner, consistent with §260.1 of this title (relating to Area Agency on Aging Administrative Requirements), and §260.2 of this title (relating to Area Agency on Aging Fiscal Responsibilities);

  (4) respond to requests by the Department for specific correction as a result of:

    (A) the area plan or area plan amendment review;

    (B) program and fiscal reviews, monitoring and assessments;

    (C) investigation and response to complaints; or

    (D) erroneous or incomplete information on program performance or financial reports.

(e) Rewards. Rewards for exceptional performance will be determined by the Department based on the results of annual monitoring of an Area Agency on Aging by the Department. Actual rewards are not limited to, but may include, any one or a combination of: notification of outstanding performance to the public in the Area Agency's region and the Board on Aging; funding awards for conferences or leadership workshops including in-state travel; funding awards for the purchase of computer equipment; and decreased frequency of monitoring and other review processes.

(f) Level One Sanctions. Level one sanctions may result in one or more of the following actions:

  (1) require the development, submission, and implementation of an acceptable corrective action plan to address identified weaknesses and/or non-compliance;

  (2) submission of additional and/or more detailed financial and/or performance reports;

  (3) designation as a high-risk contractor requiring additional monitoring visits; and

  (4) repayment of disallowed costs.

(g) Level Two Sanctions. Level two sanctions may result in one or more of the following actions:

  (1) imposition of one or more level one sanctions;

  (2) restrictions on ability to draw down contractor/Area Agency on Aging administrative funds with notice of such action to the Area Agency on Aging Director, the Area Agency on Aging Director's superior, and the contractor's Chairman of the Board or comparable agency official;

  (3) prohibit participation in discretionary funds application or carryover pool redistribution; and

  (4) provision of appropriate technical assistance.

(h) Level Three Sanctions. Level three sanctions may result in one or more of the following actions:

  (1) imposition of one or more level one sanctions;

  (2) imposition of one or more level two sanctions;

  (3) prohibit or limit provision of direct services by contractor/Area Agency on Aging;

  (4) prohibit or limit the use of specific service providers/vendors; and

  (5) imposition of the requirement that reimbursement payments made to contractor/Area Agency on Aging for the remainder of the fiscal year shall be made only following submission of bills paid or other documentation to show that bills for which reimbursement is sought have been paid.

(i) Level Four Sanctions. Level four sanctions may result in one or more of the following actions:

  (1) imposition of one or more level one sanctions;

  (2) imposition of one or more level two sanctions;

  (3) imposition of one or more level three sanctions;

  (4) require directed amendment to current area plan; and

Cont'd...

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