Laserfiche WebLink
Exhibit A ABCD Quarterly Outreach & Case Management Report <br />Year One 2018 -2019 • 2nd 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: Janice.Tadeo@HCA.WA.GOV <br />Organization : Kittitas Countv Public Health Network <br />ABCD Contact Person: Kasev Knutson <br />Phone: 509-962-7029 kasev. knutson®co. kittitas. wa. us <br />2nd <br />Quarter <br />Report Due: 01/30/19 10/1/18- <br />12/31/18 <br />Performance Cateaorv Yes/No <br />Attend and participate in ABCD <br />Coordinator/Program Meeting <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 Stale <br />Health Care Authority Page 43 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 />$450 <br />$500 Complete Exhibit B <br />$960 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 />$465 Administrator <br />Contract# 2747