SCOPE OF WORK AMENDMENT

T3C Billing, Cost Reporting, and Claims Administration

Between: Refuge House, Inc. and Refuge House San Antonio, Inc. ("Agency")
And: Tracy Corliss / Corliss Financial Services ("Contractor")
Effective Date: [Date]
Amendment to: Existing Financial Services Agreement

PURPOSE

This Scope of Work Amendment documents Contractor's fulfillment of the T3C Infrastructure Function for Billing, Cost Reporting, and Claims Administration and adds T3C-specific requirements to existing financial services.

T3C Requirement: "Identified personnel and infrastructure to support billing, cost reporting, and claims administration"

Contractor Role: Tracy Corliss/Corliss Financial Services fulfills this required T3C Infrastructure Function.

EXISTING SERVICES (UNCHANGED)

Contractor continues all existing financial services including:

• Complete financial management and accounting
• Accounts Payable and Accounts Receivable
• Payroll processing and expense reimbursements
• Foster parent/provider reimbursements
• Tax filing and reconciliation
• State filing requirements
• Annual DFPS cost report preparation
• All other services per existing agreement

T3C-SPECIFIC ENHANCEMENTS (ADDED)

1. Service Package Rate Management

• Maintain billing rates for each T3C Service Package:

  • Basic Foster Family Home Support Services
  • Mental & Behavioral Health Support Services
  • Intellectual or Developmental Disability (IDD)/Autism Spectrum Disorder Support Services
  • Add-On Services: Transition Support, Kinship Caregiver Support, Pregnant & Parenting Youth Support

• Foster parent payment processing by Service Package:

  • Implement Service Package-specific payment rates
  • Process pass-through rates based on Service Package assignment
  • Link payments to placement data provided by Agency from Radius system

2. Service Package Financial Tracking

• Track revenue and costs by Service Package:
  • Separate accounting for each Service Package type
  • Monitor Service Package profitability
  • Generate financial reports showing revenue by Service Package
  • Allocate shared costs appropriately across Service Packages

3. Claims Management by Service Package

• Code claims by Service Package type:
  • Ensure accurate Service Package identification on all claims
  • Track claim status by Service Package
  • Monitor Service Package reimbursement rates
  • Generate Service Package-specific revenue reports

4. T3C Cost Reporting

• Prepare T3C-specific cost reports:
  • Annual cost reports including Service Package breakdowns
  • Service Package cost allocation documentation
  • Support DFPS audits of T3C cost data
  • Maintain audit-ready Service Package financial documentation

5. System Coordination

• Coordinate with Agency's Radius system:

  • Receive placement and Service Package data from Radius
  • Verify placement information with Agency staff as needed
  • Process payments based on verified Service Package assignments

• Provide financial data for CQI:

  • Generate Service Package financial metrics for quality improvement reporting
  • Support data-driven decision making for Service Package development

DELIVERABLES

Monthly:

• Financial reports including Service Package revenue breakdowns
• Foster parent payment processing with Service Package identification
• Service Package profitability tracking

Quarterly:

• Service Package cost allocation reports
• Financial metrics for CQI reporting

Annually:

• DFPS cost report with T3C Service Package data
• Service Package financial performance summary

PERFORMANCE STANDARDS

• Timeliness: All existing payment and reporting timelines maintained
• Accuracy: Service Package coding 98%+ accuracy rate
• Documentation: Audit-ready Service Package financial records maintained

TERM

This Scope of Work Amendment is effective [date] and continues for the duration of the underlying financial services agreement.

ACKNOWLEDGMENT

REFUGE HOUSE SAN ANTONIO, INC.

By: ________________________________
Michele L. Gorman, Ph.D., Executive Director
Date: ______________

TRACY CORLISS / CORLISS FINANCIAL SERVICES

By: ________________________________
Tracy Corliss
Date: ______________

For T3C Verification Documentation:

"Tracy Corliss of Corliss Financial Services has provided comprehensive financial management services to Refuge House for over 20 years. Ms. Corliss fulfills the T3C Infrastructure Function for Billing, Cost Reporting, and Claims Administration through contracted services that have been enhanced to include Service Package-specific billing, cost tracking, and reporting requirements."