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DocuSign Envelope lD: FF1 4B287-E90C-4289-8A0F-A1 4FAO0E82AF <br />3. Justification and Authority for Data Sharing <br />The Data to be shared under this DSA are necessary to help Medicaid clients, children under the age <br />of six (6) and disable children underthe age of thirteen (13), in accessing oral health care. <br />42 C.F.R. 438.208 allows for sharing of PHI for coordination and continuity of care. <br />RCW 70.02.050 allows for disclosure without patient authorization on a need-to-know basis for the <br />provision of health care to a patient, for health care education, or to provide planning for the provision <br />of health care to a patient. <br />5. section 4, Definitions, a new definition "Disabled" is added as follows: <br />"Disabled" means clients who are enrolled in the Developmental Disabilities Administration (DDA). The <br />administration within the Department of Social and Health Services responsible for administeiing and <br />overseeing services and programs for clients with developmental disabilities. Formerly known ai tfre <br />Division of Developmental Disabilities. <br />6. Schedule 1: Description of Shared Data is replaced in its entirety and attached herein. <br />7. This Amendment will be effective July 1 , 2022 ("Effective Date"). <br />B. All capitalized terms not otherwise defined herein have the meaning ascribed to them in the DSA. <br />9. All other terms and conditions of the DSA remain unchanged and in full force and effect. <br />The parties signing below warrant that they have read and understand this Amendment and have authority to <br />execute the Amendment. This Amendment will be binding on HCA only upon signature by both parties. <br />RECEIVING ;NATURE PRINTED NAME AND TITLE <br />Chelsey Loeffers public Health Director <br />DATE SIGNED,luln <br />2*t fL -A-n^^nn* <br />PRINTED NAME AND TITLE <br />RachelleAmerine contractsAdministrator <br />DATE SIGNED <br />6t3t2022 <br />HCA Contract No. K4677-0'l Page 2 of 3