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DocuSign Envelope lD: FF 1 48.287 -E90C-4289-8A0F-Al 4FA00E82AFExhibit A-3Please complete and submit report electronically to:Janice Tadeo, ABCD Program Manager at ianice.tadeo@hca.wa.qovCc: Pixie Needham, Dental Program Administrator at pixie.needham@hca.wa.qov andHeath er Gallagher, ABCD State Manag i n g Di rector, hqallaq her@a rcorafo u ndation.orqABCD Quarterly Community and Provider Outreach and Case Management ReportYear One July 1 ,2022 - June 30,2023 o 1st Ouarter ReportBrief description (for events, provide date held/attended/ forstaff assignments, provide name and title) - no more than 100words (complete Exhibit A-3 and attach supporting document ifdinadditional detailComplete Exhibit B-3Complete Exhibit B-3Exhibit C-2Provide outcome information such as minutes, copies of informationprovided or list of items provided, examples of type of Organizationsattended, what were outcomes or next steps for ABCD.Send invitation and report back any concerns/issues to HCA DentalPram Administrator & ABCD AdministratorMaximum$$ available forthis deliverable$1,000.00$1.298.00$324.00$o$500.001st Quarter7t1t2022 -9t30t2022Yes/NoOrganization:ABCD Contact PersonPhone and EmailReport Due:1013112022Performance CateqorvAttend and participate in ABCDCoordinator/Proqram MeetinqCommunity and Provider OutreachCoordinate CareComplete budget tool and year two actionplanConvene Health Coalition/ABCD Steeringcommittee or participate in a Coalition orSteering Committee Focused on HealthCare, Access or Early Learning with ABCDas a Quarterly Agenda ltem.HCA Contract No.: K2747-04Page 8 of 20