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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 -E90C-4289-8A0F-A1 4FA00E82AFExhibit C-2ABCD Yearly Budget Tool2022-2024 Yearly Expenses (esti mated)Year TwoJuly 1,2023ToJune 3A,2O24Year OneJuly 1,2022toJune 30,2023EXPENSESStaffing/Salary & Benefits- add a column to identify o/o and hours per week for eachyea rProgram Coordinator (x hrs/week = .X FTE)Outreach Staff (x hrs/week = .X FTE)Pm Manager (x hrs/week =.X FTE)Support Staff (clerical, lT, finance, communications/per staff, other x hrs/week = .X FTE)Administration (x hrs/ week (.X FTE)Salary & Benefits SubtotalOperating ExpensesAdvertising/Marketing (print, broadcast ads; cable TV time, movie ads, weekly newspaper,billboards, social media)Office Equipment (Copier, Fax)Meeting Expenses (steering committee room, food, etc.)PostaePrinting (Outside Vendors)Professional ServicesOffice SuppliesonSuliesTelephoneABCD Certification Training/dentists and staff (room, audiovisuals, food, thank you toparticipating families, promotion, etc.)Travel (Per Diem, Transportation, Mileagelairfare, accommodations as required) for 3x annualABCD Coordinators meeting - 2 Seattle, 1 Central WA; and for 1x annual DentalCont.HCA Contract No.: K2747-O4Page 19 of 20
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