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Exhibit A ABCD Quarterly Outreach & Case Management Report <br />Year One 2018 -2019 • 1st 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: Ja nice .T a d eo@ H C A .W A .G OV <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 />1st <br />Quarter <br />Report Due: 10/31/18 7/1/18- <br />9/30/18 <br />Performance Category Yes/No <br />Allocate staff and review contract to plan and <br />create the vear 1 action plan. <br />Community and Provider Outreach <br />Coordinate Care <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 />Washington State <br />Health Care Authority Page 42 of 53 <br />Brief description (for events, provide date <br />Maximum held/attended/ for staff assignments, provide name <br />$$ available and title) -no more than 100 words (complete Exhibit <br />for this A and attach supporting document if providing <br />deliverable additional detail) <br />Include attached budget (Exhibit C) and copy of your <br />$470 plan. <br />$940 Complete Exhibit B <br />$465 Complete Exhibit B <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 />$500 Administrator <br />Contract# 2747 <br />I