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Exhibit A ABCD Quarterly Outreach & Case Management Report <br />Year Two 2019 -2020 • 4th 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.WAGOV <br />O rg anization : Kittitas Countv Public Health Network <br />ABCD Contact Person : <br />Phone: <br />Report Due: 07/31/2020 <br />Performance Category <br />Contact at least 1 0% of client list <br />Attend and participate in ABCD <br />Coordinator/Program Meeting <br />Community and Provider Outreach <br />Coordinate Care <br />Washington State <br />Health Care Authority <br />Kasey Knutson <br />509-962-7029 kasey.knutson@co.kittitas.wa.us <br />4th <br />Quarter <br />4/1/20- <br />6/30/20 <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 />Yes/No deliverable additional detail) <br />$450 Complete Exhibit B <br />$500 <br />$960 Complete Exhibit B <br />$465 Complete Exhibit B <br />Page 49 of 53 Contract# 2747