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DocuSignEnvelopeID:FF14B287-E90C-42B9-8A0F-A14FA00E82AF3.JustificationandAuthorityforDataSharingTheDatatobesharedunderthisDSAarenecessarytohelpMedicaidclients,childrenundertheageofsix(6)anddisablechildrenundertheageofthirteen(13),inaccessingoralhealthcare.42C.F.R.438.208allowsforsharingofPHIforcoordinationandcontinuityofcare.RCW70.02.050allowsfordisclosurewithoutpatientauthorizationonaneed-to-knowbasisfortheprovisionofhealthcaretoapatient,forhealthcareeducation,ortoprovideplanningfortheprovisionofhealthcaretoapatient.5.Section4,Definitions,anewdefinition"Disabled"isaddedasfollows:"Disabled"meansclientswhoareenrolledintheDevelopmentalDisabilitiesAdministration(DDA).TheadministrationwithintheDepartmentofSocialandHealthServicesresponsibleforadministeringandoverseeingservicesandprogramsforclientswithdevelopmentaldisabilities.FormerlyknownastheDivisionofDevelopmentalDisabilities.6.Schedule1:DescriptionofSharedDataisreplacedinitsentiretyandattachedherein.7.ThisAmendmentwillbeeffectiveJuly1,2022("EffectiveDate").8.AllcapitalizedtermsnototherwisedefinedhereinhavethemeaningascribedtothemintheDSA.9.AllothertermsandconditionsoftheDSAremainunchangedandinfullforceandeffect.ThepartiessigningbelowwarrantthattheyhavereadandunderstandthisAmendmentandhaveauthoritytoexecutetheAmendment.ThisAmendmentwillbebindingonHCAonlyuponsignaturebybothparties.RECEIVINGPARTYSIGNATUREPRINTEDNAMEANDTITLEDATESIGNEDChelseyLoeffersPublicHealthDirectorREPRINTEDNAMEANDTITLEDATESIGNEDRachelleAmerineContractsAdministrator6/3/2022HCAContractNo.K4677-01Page2of3