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Exhibit E: 2017 CYSHCN Quarterly Report for the MCHBG <br />Facility reporting: CHCW-E Quarter period: Quarter <br />Name of reporter: Michele Cawley, RN Date CHIF entry was completed Email reportto ka-sev .knut so n@ co.kittitas.wa .us <br />or fax: 933-8246 by the 15th ofthe month following the end ofthe quarter. <br />Quarter # Home # Office # Other # New # Title V # Title # other Outreach Outreach I <br />Visits Visits communications Referrals served XIX served # community # provider <br />served events contacts I <br />Description All non-Office Email, phone, All new New Medicaid Other Events & Contact <br />office visits text messages, referrals clients or Apple health meetings, with <br />visits etc. with clients entered in Health Insurance education & providers <br />CHIF advocacy beyond <br />referral <br />Quarter 1 <br />Quarter 2 <br />Quarter 3 <br />Quarter 4 <br />Year-end <br />total <br />Regional Meeting DatelType of Participation: Click here to enter text. <br />Narrative of CYSHCN outreach activities (optional): Click here to enter text .