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DocuSign Envelope ID:FF14B287-E90C-42B9-8A0F-A14FA00E82AF <br />Exhibit A-3 ABCD Quarterly Community and Provider Outreach and Case ManagementReport <br />Year Two July 1,2023 -June 30,2024•1st O.uarter Report <br />Please complete and submit report electronically to: <br />Janice Tadeo,ABCD Program Manager at lanice.tadeo@hca.wa.gov <br />Cc:Pixie Needham,Dental Program Administrator at pixie.needham@hca.wa.gov and <br />Heather Gallagher,ABCD State Managing Director,hqallaqher arcorafoundation.orq <br />Organization: <br />ABCD Contact Person: <br />Phone and Email: <br />1st Quarter <br />7/1/2023 - <br />Report Due:10/31/2023 9/30/2023 <br />Brief description (for events,provide date heldlattendedl forMaximumstaffassignments,provide name and title)-no more than 100 <br />$$available for words (complete Exhibit A-3 and attach supporting document ifPerformanceCategoryYes/No <br />i <br />this deliverable _p_roviding additional detail)Attend and participate in ABCD <br />,Coordinator/ProgramMeeting $1,000.00 <br />i Community and Provider Outreach $1,298.00 Complete Exhibit B-3CoordinateCare <br />_ <br />$324.00 Complete Exhibit B-3 <br />Complete budget tool and year two action <br />plan $0 Complete Exhibit C-2 <br />.Provide outcome information such as minutes,copies of informationConveneHealthCoalition/ABCD Steenng 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 />i <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 12 of 20 <br />HCA Contract No.:K2747-04