My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
DSHS DDA Agreement
>
Meetings
>
2016
>
06. June
>
2016-06-07 10:00 AM - Commissioners' Agenda
>
DSHS DDA Agreement
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
6/14/2018 8:42:14 AM
Creation date
6/13/2018 11:02:06 AM
Metadata
Fields
Template:
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
Fully Executed Version
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
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
5
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
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 Fund Source Original 1 s( Revision 2nd Revision 3rd Revision <br />2016 State only <br />Waiver <br />Local <br />Medicaid Match to Local <br />Total Rev . <br />Fiscal <br />Year Fund Source <br />2017 State <br />Waiver <br />Local <br />Medicaid Match to Local <br />Total Rev . <br />I <br />II ADMINISTRATION (CMIS/AWA <br />BARS 11) <br />DSHS Central Contract Services <br />6024PF Contract Amendment (3-31-06) <br />358425 383595 <br />$738941 <br />689190 $ $ <br />Original 1S <br />( Revision 2nd Revision 3rd Revision <br />- <br />$ $ $ $ <br />COUNTY FY 2016 SPENDING PLAN <br />Planned Expenditures <br />Local PASRR <br />.. ' , <br />Medicaid. <br />Funds Funds State F~l1ds FYIJOS TOTAL <br />748 <br />, <br />26177 '2 141"7 ' 47594 <br />Page 2
The URL can be used to link to this page
Your browser does not support the video tag.