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Final DSHS DDA County Services Agrememnt Amendment 1
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2016-06-07 10:00 AM - Commissioners' Agenda
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Final DSHS DDA County Services Agrememnt Amendment 1
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4/7/2018 10:59:18 AM
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Meeting
Date
6/7/2016
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Supporting documentation
Supplemental fields
Alpha Order
h
Item
Request to Approve Contract Amendment No. 01 between the Department of Social & Health Services and Kittitas County
Order
8
Placement
Consent Agenda
Row ID
29894
Type
Agreement
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This Contract between the State of Washington Department of Social and Health Services (DSHS) and the <br />Contractor is hereby amended as follows: Maximum contract amount is increased by $49,751 to fund <br />additional clients added during this contract period. The new maximum amount is $738,941 and is reflected in <br />the amended Spend plan incorporated to this revision <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 XX Budget Revision <br />REVENUES <br />Fiscal <br />Year <br />Fund Source <br />Original <br />1s` Revision <br />2"d Revision <br />3rd Revision. <br />2016 <br />State only <br />358425 <br />383595 <br />Waiver <br />Local <br />_ <br />Medicaid Match to Local <br />$738941 <br />$ <br />$ <br />Total Rev, <br />689190 <br />$ <br />$ <br />J.. <br />Fiscal <br />Year <br />Fund Source <br />Original <br />13` Revision <br />2nd Revision <br />3`d Revision <br />2017 <br />State <br />Waiver <br />Local <br />_ <br />Medicaid Match to Local <br />$ <br />Total Rev. <br />$ <br />$ <br />$ <br />J.. <br />ADMINISTRATION (CMTS/AWA <br />BARS 11) <br />COUNTY FY 2016 SPENDING PLAN <br />Planned Expenditures <br />Local PASRR ' Medicaid <br />Funds Funds State Funds Funds TOTAL <br />748 <br />26177 21417: 47594 <br />DSHS Central Contract Services Page 2 <br />6024PF Contract Amendment (3-31-06) 1 <br />
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