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HCA ABCD Final
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2022
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07. July
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2022-07-19 10:00 AM - Commissioners' Agenda
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HCA ABCD Final
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Last modified
7/14/2022 1:23:51 PM
Creation date
7/14/2022 1:22:41 PM
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Meeting
Date
7/19/2022
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Supporting documentation
Supplemental fields
Alpha Order
d
Item
Request to Approve an Amendment to the Health Care Authority Access to Baby Dentistry
Order
4
Placement
Consent Agenda
Row ID
91496
Type
Agreement
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DocuSignEnvelopeID:FF14B287-E90C-42B9-8AOF-A14FA00E82AFHCAContractNo.:K4677WashingtonStateDATASHAREAmendmentNo.:01HealthCareuthorityAAMGDMMNNTTHISAMENDMENTTOTHEDATASHAREAGREEMENTisbetweentheWashingtonStateHealthCareAuthorityandthepartywhosenameappearsbelow,andiseffectiveasofthedatesetforthbelow.RECEIVINGPARTYNAME¯RECEIVINGPARTYdoingbusinessas(DBA)KittitasCountyPublicHealthNetworkRECEIVINGPARTYADDRESSASSIGNEDSERVICEREGIONICOUNTY507NodhNanumSt.,Suite201KittitasCountyEllensburg,WA98926AMENDMENTSTARTDATEAMENDMENTENDDATECONTRACTENDDATEJuly1,2022June30,2024June30,2024WHEREAS,HCAandReceivingPartypreviouslyenteredintoaDataShareAgreement(DSA)toprovideAccesstoBabyandChildDentistry(ABCD)servicestodetectandpreventearlychildhooddentaldecayforengagingdentistsinseeingbirthtosixyearoldanddisabledsixtotwelveyearoldMedicaideligiblechildrenandengaginglocalpublichealthdepartmentsinoutreachandcasemanagement,and;WHEREAS,HCAandReceivingPartywishtoamendtheDSApursuanttoSection14toextendterm,reviseeligiblechildrenpopulation,adddefinition;NOWTHEREFORE,thepartiesagreetheDSAisamendedasfollows:1.TheDataShareAgreementtermisextendedfromJune30,2022toJune30,2024.2.Section1,Backgroundisamendedtoreadasfollows:1.BackgroundTheReceivingPartyhaspreviouslyenteredintoaContractwithHCA,K2747,in2018.ThepurposeoftheContractistoprovideAccesstoBabyandChildDentistry(ABCD)servicestodetectandpreventearlychildhooddentaldecayforengagingdentistsinseeingbirthtosix(6)yearoldanddisabledsix(6)totwelve(12)yearoldMedicaideligiblechildrenandengaginglocalpublichealthdepartmentsinoutreachandcasemanagement.3.Section2,PurposeoftheDSAisamendedtoreadasfollows:2.PurposeoftheDSAThepurposeofthisDataShareAgreement(DSA)istoidentify,describeandprotecttheMedicaiddatabeingprovidedbyHCAfromProviderOnetotheReceivingParty.ThepurposeforsharingtheDataisfortheReceivingPartytoidentifyeligibleABCDclientsinordertomatchthemtoadentist,thenprovideclientoutreachtofamilieswithchildrenundertheageofsix(6)anddisabledchildrenundertheageofthirteen(13).OutreachwillbedonebymakingphonecallstofamiliestoassistwithconnectingthechildtoanABCDcertifieddentist,andinformationregardingtheABCDprogramwillbesentviamail.TheDatawillhelpidentifyandaddressfamilybarrierstoaccessingoralhealthcare.4.Section3,JustificationandAuthorityforDataSharingisamendedtoreadasfollows:HCAContractNo.K4677-01Page1of3
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