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Exhibit A3 -ABeD Quarterly Outreach & Case Management Report <br />ABCD Outreach & Case Management Contract Reporting <br />Contract Period: July 1,2017 through December 31,2017 • 2nd 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@HCAWA.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 />2nd Quarter <br />10/1/2017 - <br />Report Due: 1/31/2018 12/31/2017 <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 Al and attach supporting document <br />Performance Category Yes/No this deliverable if providing additional detail) <br />Contact at least 10% of client list $450 Complete Exhibit B3 <br />Review "find a provider" list on the HCA website <br />and provide updated information $195 Complete Exhibit C1 <br />Community Outreach $940 Complete Exhibit B3 <br />Coordinate Care $290 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 type of Organizations attended, what were outcomes or next Steering Committee Focused on Health Care, <br />Access or Early Learning with ABCD as a steps for ABCD. <br />*Send invitation and report back any concerns/issues to HCA Quarterly Agenda Item. $500 Dental Program Administrator & ABeD Administrator <br />HCA Contract No. «Contract_Number» Page 7 of 12