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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Today's Date <br />06/05/2018 <br />Fund/Department <br />116-Public Health <br />Contract/Grant Information <br />Agenda Date <br />Contract /Grant Age ncy: Professional Services Contract for ABCD Dental Services <br />Period Begin Date: July 1, 2018 I j Period End Date: June 30, 2020 <br />Total Grant/Contract Amount: $19,000.00 <br />Grant/Contract Number: K2747 <br />Contract/Grant Summary: <br />The Professional Services Contract for ABCD Dental Services is established to allow Kittitas County to <br />provide Access to Baby and Child Dentistry' (ABCD) services to detect and prevent early childhood dental <br />decay by engaging dentists in seeing birth to six year old Medicaid eligible children and engaging local <br />public health departments in outreach and case management. <br />Recommendation for Board of Health and Board of Health Review on <br />~-f\ .t ' ., <br />Department Head Signature:~7__7'::: , Administrator Date: lf, {a-QJ{l~ <br />Signature of Prosecutor's Offi Date <br />---~~ <br />Date <br />Signature of Board of Health member Date <br />Financial Information <br />Total Amount$ 19,000 State Funds $ 9,500 Federal Funds $ 9,500 <br />Percentage County Funds Matching Funds$ CFDA# 93. 778 <br />Grant/Contract Review Page 1