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Exhibit B3 -Community Outreach and Coordination of Care Report <br />ABCD Outreach & Case Management Contract Reporting <br />Contract Period: July 1, 2017 through December 31,2017 <br />COORDINATE CARE <br />Family Orientation (indicate how provided, in-person, phone, <br />mail, etc/.) How Many How <br />Clients contacted from List (10%) Delete box from here <br />(indicate how provided , mail , phone, call email , etc.) How Many down <br />Assisted with client with initial Dental Appointments and provide <br />follow-up (if applicable) How Many <br />Referrals To Dental Home How Many <br />Barriers to Care Identified (interpreter services, transportation, <br />etc) How Many <br />HCA Contract No. «Contract_Number» Page 8 of 12 <br />Location & Date <br />Delete box from <br />here down