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HCA Amendment Signed
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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 Amendment Signed
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Last modified
7/25/2022 8:11:19 AM
Creation date
7/25/2022 8:10:52 AM
Metadata
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Template:
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
Fully Executed Version
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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DocuSign Envelope lD: FF 1 48287 -Eg0C-4289-8A0F-A1 4FA00E82AFExhibit A-3Please complete and submit report electronically to:Janice Tadeo, ABCD Program Manager at ianice.tadeo@hca.wa.govCc: Pixie Needham, Dental Program Administrator at pixie.needham@hca.wa.qov andHeath er Gallagher, ABCD State Managin g Di rector, hgallag her@arcorafoundation.orgABCD Quarterly Community and Provider Outreach and Case Management ReportYear Two July 1, 2023 - June 30,2024 o 1st Ouarter ReportBriefdescription (for events, provide date held/attended/ forstaff assignments, provide name and title) - no more than 100words (complete Exhibit A-3 and attach supporting document ifadditional detaiComExhibit B-3ComExhibit B-3ComExhibit 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 DentalProqram Administrator & ABCD AdministratorMaximum$$ available forthis deliverable$1.000.00$1.298.00$324.00$o$500.001st Quarter71112023 -9130t2023Yes/NoOrqanizationABCD Contact PersonPhone and EmailReport Due:.1013112023Performance CateqorvAttend and participate in ABCDCoordinator/Proqram MeetinqCommunitv 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 12 of 2O
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