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2019
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08. August
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2019-08-20 10:00 AM - Commissioners' Agenda
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Last modified
10/23/2019 9:11:09 AM
Creation date
10/23/2019 9:10:45 AM
Metadata
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Template:
Meeting
Date
8/20/2019
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Fully Executed Version
Supplemental fields
Alpha Order
g
Item
Request to Approve an Agreement between the Department of Social and Health Services and the Kittitas County Public Health Department
Order
7
Placement
Consent Agenda
Row ID
55882
Type
Contract
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Exhibit B <br />Program Agreement Budget <br />X Original Budget Budget Revision <br />Fiscal <br />Year Fund Source <br />2020 State only <br />Waiver <br />Total Rev . <br />Fiscal <br />Year Fund Source <br />2021 State only <br />Waiver <br />Total Rev . <br />ADMINISTRATION (CMIS/AWA <br />BARS 11) <br />OTHER CONSUMER SUPPORTS <br />(CMIS/AWA Code 31, 32, 41, 92, <br />93 , 94) <br />CONSUMER SUPPORT <br />STATE-ONLY <br />Child Development <br />MEDICAID CLIENTS <br />ROADS to COMMUNITY LIVING <br />TOTAL <br />DSHS Central Contract Services <br />1769CS County Agreement 5-1-2019 <br />- <br />REVENUES <br />OriQinal 1st Revision 2nd Revision <br />368,623 <br />$728 ,032 $ $ <br />Original 1st Revision 2nd Revision <br />$ $ $ <br />Medicaid <br />PASRR Funds State Funds Funds - <br />26195 21433 <br />24482 20030 <br />--- <br />317946 317946 <br />I - <br />1, - <br />368,623 359,409 <br />3rd Revision <br />$ <br />3rd Revision <br />$ <br />TOTAL <br />47628 <br />44512 <br />635892 <br />728,032 <br />Page 24
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