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<br /> Washington State <br /> Health Care Authority Page 45 of 53 Contract # 2747 <br /> <br />Exhibit A ABCD Quarterly Outreach & Case Management Report <br />Year One 2018 - 2019 • 4th 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: 07/31/2019 <br />4th <br />Quarter <br />4/1/19 – <br />6/30/19 <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 />Contact at least 10% of client list $450 Complete Exhibit B <br />Attend and participate in ABCD <br />Coordinator/Program Meeting $500 <br />Community and Provider Outreach $960 Complete Exhibit B <br />Coordinate Care $465 Complete Exhibit B <br />