Laserfiche WebLink
This Contract between the State of Washington Department of Social and Health Services (DSHS) and the <br />Contractor is hereby amended as follows: <br />1. The Total Maximum Contract Amount is hereby increased in the amount of $14,948 for a new Contract <br />Amount of $835,289. The additional amount is reflected in the attached amended Spend Plan. <br />All other terms and conditions of this Contract remain in full force and effect. <br />EXHIBIT B <br />Program Agreement Budget <br />❑ Original Budget X Budget Revision <br />REVENUES <br />Fiscal <br />Year <br />Fund Source <br />Original <br />1 St Revision <br />2nd Revision <br />3`d Revision <br />2018 <br />State Only <br />413,416 <br />421,051 <br />Waiver <br />Local <br />Medicaid Match to <br />Local <br />Total Rev. <br />Medicaid Match to <br />Local <br />Total Rev. <br />1 $820,341 <br />$835,289 <br />Fiscal <br />Year <br />Fund Source <br />Original <br />1St Revision <br />2nd Revision <br />3`d Revision <br />2019 <br />State Only <br />Waiver <br />Local <br />Medicaid Match to <br />Local <br />Total Rev. <br />ADMINISTRATION <br />(CMTS/AWA BARS 11) <br />OTHER CONSUMER <br />SUPPORTS <br />(CMIS/AWA Code 31, 32, 41, <br />92, 93, 94) <br />CONSUMER SUPPORT <br />STATE -ONLY <br />COUNTY FY 2018 SPENDING PLAN <br />Planned Expenditures <br />Local PASRR Medicaid <br />Funds Funds I State Funds Funds I TOTAL <br />651 l! 29697 1 24298 _� 54646 <br />27754 22708 1 50462 <br />464 11 6312 <br />6776 <br />DSHS Central Contract Services Page 2 <br />6024PF Contract Amendment (3-31-06) <br />