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DocuSign Envelope ID:FF14B287-E90C-42B9-8A0F-A14FA00E82AF <br />Exhibit A-3 ABCD Quarterly Communityand Provider Outreach and Case ManagementReport <br />Year One July 1,2022 -June 30,2023•1st O.uarter Report <br />Please complete and submit repoli electronically to: <br />Janice Tadeo,ABCD Program Manager at lanice.tadeo®hca.wa.qov <br />Cc:Pixie Needham,Dental Program Administrator at pixie.needham@hca.wa.gov and <br />Heather Gallagher,ABCD State Managing Director,hqallaqher@arcorafoundation.org <br />Organization: <br />ABCD Contact Person: <br />Phone and Email: <br />1st Quarter <br />7/1/2022 - <br />Report Due:10/31/2022 9/30/2022 <br />Brief description (for events,provide date heldlattendedl for <br />Maximum staff assignments,provide name and title)-no more than 100 <br />$$available for words (complete Exhibit A-3 and attach supporting document if <br />Performance Category Yes/No this deliverable _groviding additional detail) <br />Attend and participate in ABCD <br />Coordinator/Program Meeting $1,000.00 <br />Community and Provider Outreach _|$1,298.00 |Complete_Exhibit B-3 <br />Coordinate Care $324.00 Complete Exhibit B-3 <br />Complete budget tool and year two action <br />i plan ____I $0 Complete Exhibit C-2 <br />Provide outcome information such as minutes,copies of informationConveneHealthCoalition/ABCD Steering provided or list of items provided,examples of type of OrganizationscommitteeorparticipateinaCoalitionorattended,what were outcomes or next steps for ABCD.Steering Committee Focused on Health <br />Care,Access or Early Learning with ABCD ... <br />as a Quarterly Agenda Item.Send invitation and report back any concernslissues to HCA Dental <br />$500.00 Program Administrator &ABCD Administrator <br />Page 8 of 20 <br />HCA Contract No.:K2747-04