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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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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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Unless you tell us otherwise in accordance with the procedures described herein, we will provide <br />electronically to you through the DocuSign system all required notices, disclosures, <br />authorizations, acknowledgements, and other documents that are required to be provided or made <br />available to you during the course of our relationship with you. To reduce the chance of you <br />inadvertently not receiving any notice or disclosure, we prefer to provide all of the required <br />notices and disclosures to you by the same method and to the same address that you have given <br />us. Thus, you can receive all the disclosures and notices electronically or in paper format through <br />the paper mail delivery system. If you do not agree with this process, please let us know as <br />described below. Please also see the paragraph immediately above that describes the <br />consequences ofyour electing not to receive delivery ofthe notices and disclosures <br />electronically from us. <br />How to contact CIoudPWR OBO Washington State Health Care Authority-Sub Account: <br />You may contact us to let us know of your changes as to how we may contact you electronically, <br />to request paper copies of certain information from us, and to withdraw your prior consent to <br />receive notices and disclosures electronically as follows: <br />To contact us by ernail send messages to: todd.stone@hca.wa.gov <br />To advise CloudPWR OBO Washington State Health Care Authorify-Sub Account of your <br />new email address <br />To let us know of a change in your email address where we should send notices and disclosures <br />electronically to you, you must send an email message to us at todd.ston e@hca.wa.gov and in the <br />body of such request you must state: your previous email address, your new emailaddress. We <br />do not require any other information from you to change your email address. <br />If you created a DocuSign account, you may update it with your new email address through your <br />account preferences. <br />To request paper copies from CloudPWR OBO Washington State Health Care Authority- <br />Sub Account <br />To request delivery from us of paper copies of the notices and disclosures previously provided <br />by us to you electronically, you must send us an email to todd.stone@hca.wa.gov and in the <br />body of such request you must state your email address, full name, mailing address, and <br />telephone number. We will bill you for any fees at that time, if any. <br />To withdraw your consent with CloudPWR OBO Washington State Health Care <br />Authority-Sub Account
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