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DocuSign Envelope lD: FF 1 48287 -E90C-42B9-840F-A1 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 Gallag her, ABCD State Managi n g Di rector, hgallaq her@arcorafoundation. orqABCD Quarterly Community and Provider Outreach and Case Management ReportYear One July 1 ,2022 - June 30,2023. 3rd Ouarter ReportBrief description (for events, provide date held/attended/ forstaff assignments, provide name and title) - no more than100 words (complete Exhibit A-3 and attach supportingdocument ifadditional detaiComplete Exhibit B-3Comlete Exhibit B-3Provide outcome information such as minutes, copies ofinformation provided or list of items provided, examples of typeof Organizations attended, what were outcomes or next stepsfor ABCD.Send invitation and report back any concerns/issues to HCADental Program Administrator & ABCD AdministratorMaximum$$ availablefor thisdeliverable$1.000.00$1.298.00$324.00$500.003rd Quarter1t1t2023 -3t31t2023Yes/NoOrganizationABCD Contact PersonPhone and Email:Report Due:.0413012023Performance CateqorvAttend and participate in ABCDCoord inator/Prog ram Meetin gCommunity and Provider OutreachCoordinate CareConvene Health Coalition/ABCD Steeringcommittee or participate in a Coalition or SteeringCommittee Focused on Health Care, Access orEarly Learning with ABCD as a Quarterly AgendaItem.HCA Contract No.: K2747-04Page 10 of 20