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Exhibit A3 -ABCD Quarterly Outreach & Case Management Report <br />ABCD Outreach & Case Management Contract Reporting <br />Contract Period: July 1,2017 through December 31,2017 • 1st Quarter Report <br />Please complete and submit report electronically to: <br />Janice Tadeo, Dental Program Administrator <br />Division of Health Care Services, Washington State Health Care Authority <br />PO Box 45506, Olympia, WA 98504-5506 <br />Phone : (360) 725-1583 Email: Janice .Tadeo@HCA.wA.GOV <br />Organization: Kittitas County Public Health Email Address : tristen .lamb@co .kittitas .wa.us <br />Department <br />ABCD Contact Person: Tristen Lamb <br />Phone: 509-962-7029 <br />1st Quarter <br />7/1/2017 - <br />Report Due: 10/31/2017 9/30/2017 <br />Brief description (for events, provide date held/attended/ for <br />Maximum$$ staff assignments, provide name and title) -no more than 100 <br />available for words (complete Exhibit A1 and attach supporting document <br />Performance Category Yes/No this deliverable if providing additional detail) <br />Allocate staff and review contract to plan and <br />create the year 1 action plan. $470 Include attached budget (Exhibit D3) and copy of your plan. <br />Attend and participate in ABCD <br />Coordinator/Program Meeting $500 <br />Community Outreach $690 Complete Exhibit B3 <br />Coordinate Care $215 Complete Exhibit B3 <br />Convene Health Coalition/ABCD Steering Provide outcome information such as minutes, copies of <br />information provided or list of items provided, examples of committee or participate in a Coalition or Steering type of Organizations attended, what were outcomes or next Comm ittee Focused on Health Care, Access or <br />Early Learning with ABCD as a Quarterly Agenda steps for ABCD . <br />*Send invitation and report back any concerns/issues to HCA Item. $500 Dental Program Administrator & ABCD Administr(lt()r <br />- <br />HCA Contract No . «Contract_Number» Page 6 of 12