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K2747-Kittitas County Public Health Network
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2018-06-19 10:00 AM - Commissioners' Agenda
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K2747-Kittitas County Public Health Network
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Last modified
6/14/2018 1:50:17 PM
Creation date
6/14/2018 1:49:46 PM
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Meeting
Date
6/19/2018
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Supporting documentation
Supplemental fields
Alpha Order
k
Item
Request to Approve a Professional Services Contract for ABCD Dental Services
Order
11
Placement
Consent Agenda
Row ID
45638
Type
Agreement
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<br /> Washington State <br /> Health Care Authority Page 43 of 53 Contract # 2747 <br /> <br />Exhibit A ABCD Quarterly Outreach & Case Management Report <br />Year One 2018 - 2019 • 2nd Quarter Report <br /> <br /> <br /> <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 /> <br />Organization: Kittitas County Public Health Network <br />ABCD Contact Person: Kasey Knutson <br />Phone: 509-962-7029 kasey.knutson@co.kittitas.wa.us <br /> <br /> <br />Report Due: 01/30/19 <br />2nd <br />Quarter <br />10/1/18 – <br />12/31/18 <br /> <br />Performance Category Yes/No <br />Maximum <br />$$ available <br />for this <br />deliverable <br />Brief description (for events, provide date <br />held/attended/ for staff assignments, provide name <br />and title) - no more than 100 words (complete Exhibit <br />A and attach supporting document if providing <br />additional detail) <br />Attend and participate in ABCD <br />Coordinator/Program Meeting $450 <br />Community and Provider Outreach $500 Complete Exhibit B <br />Coordinate Care $960 Complete Exhibit B <br />Convene Health Coalition/ABCD Steering <br />committee or participate in a Coalition or <br />Steering Committee Focused on Health Care, <br />Access or Early Learning with ABCD as a <br />Quarterly Agenda Item. <br /> $465 <br />Provide outcome information such as minutes, copies of <br />information provided or list of items provided, examples of <br />type of Organizations attended, what were outcomes or <br />next steps for ABCD. <br />*Send invitation and report back any concerns/issues to <br />HCA Dental Program Administrator & ABCD <br />Administrator <br />
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