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Exhibit A — ABCD Quarterly Outreach & Case Management Report <br />Year One 2018 — 2019 s 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: <br />Kittitas County Public Health Network <br />ABCD Contact Person: <br />Kasey Knutson kasey.knutson@co.kittitas.wa.us <br />Phone: <br />509/962-7029 <br />2nd <br />Quarter <br />Report Due: <br />10/1/18- <br />01/31/2019 <br />12/31/18 <br />Maximum $$ <br />Brief description (for events, provide date held/attended/ for <br />available for <br />staff assignments, provide name and title) - no more than 100 <br />this <br />words (complete Exhibit A and attach supporting document if <br />Performance Category <br />Yes/No <br />deliverable <br />providing additional detail) <br />Contact at least 10% <br />of client list <br />$450 <br />Complete Exhibit B <br />Attend and participate <br />_ <br />in ABCD <br />Coordinator/Program <br />i <br />Meeting <br />$500 <br />Community and <br />Provider Outreach_ <br />$960 <br />Complete Exhibit B <br />Coordinate Care <br />$465 <br />Complete Exhibit B <br />HCA Contract No. K2747 Page 2 of 2 <br />Amendment #01 <br />