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Exhibit A ABCD Quarterly Outreach & Case Management Report <br />Year Two 2019 -2020 • 3rd 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@HCAWAGOV <br />Oroanization : Kittitas County Public Health Network <br />ABCD Contact Person : Kasey Knutson <br />Phone: 509-962-7029 kasey.knutsoncafco.kittitas.wa.us <br />3rd <br />Quarter <br />Report Due: 04/30/20 1/1/20- <br />3/31/20 <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 />Performance Category Yes/No deliverable additional detail) <br />Attend and participate in ABCD <br />Coordinator/Prooram Meetino $500 <br />Community and Provider Outreach $910 Comolete Exhibit B <br />Coordinate Care $465 Complete Exhibit B <br />Provide outcome information such as minutes, copies of <br />Convene Health Coalition/ABCD Steering information provided or list of items provided, examples of <br />committee or participate in a Coalition or type of Organizations attended, what were outcomes or <br />Steering Committee Focused on Health Care, next steps for ABCD. <br />Access or Early Learning with ABCD as a *Send invitation and report back any concerns/issues to <br />Quarterly Agenda Item. HCA Dental Program Administrator & ABCD <br />$500 Administrator <br />Washington State <br />Health Care Authority Page 48 of 53 Contract# 2747