HCA Amendment Signed - Laserfiche WebLink

Home Browse Search

DocuSign Envelope lD: FF 1 48287 -E90C-4289-BA0F-A1 4FAoOE82AF WHEREAS, HCA and Contractor previously entered into a Contract for to provide 'Access to Baby and Child Dentistry' (ABCD) services to detect and prevent early childhood dental decay by engaging dentists in seeing Apple Health/Medicaid-eligible Clients, ages birth to six (6), with an emphaiis on children of color and children 0-2, ages six (6) to thirteen (13) who are clients of the Developmental Disabilities Administration and other eligible but underserved children in the service area, and engaging local public health departments in outreach and case management, and; WHEREAS, HCA and Contractor wish to amend the Contract pursuant to Section 4.3 to revise definitions, extend the term, increase funds, update the Schedule A: Statement of Work, and update Exhibits; NowTHEREFORE, the parties agree the contract is amended as follows: 1. Section 3, Special Terms and Conditions, the following definitions are revised to read as follows: a) "ABCD" means Access to Baby and Child Dentistry, a program designed to detect and prevent early childhood dental decay by engaging dentists in seeing birth to six (6) year old Medicaid eligible children and clients of the Developmental Disabilities Administration (DDA) birth to thirteen (13)years old and engaging local public health departments in outreach and case management. e) "Client" means Medicaid eligible Clients ages birth through six (6) years of age and clients of the Developmental Disabilities Administration (DDA) birth to thirteen (13) years old. h) "Goordinator" means the individual hired to organize events and activities related to the ABCD program and who also acts as a liaison/advocate between providers and families of ABCD eligible children birth up to six (6) years old and clients of the Developmental Disabilities Administration (DDA) birth to thirteen (13) years ord. 2. Section 3.2 Term, subsection 3.2.1 is deleted and replaced in its entirety as follows: Washington State Health Ca 0 CONTRACT AMENDMENT For ABCD DENTAL SERVICES HCA Contract No.: K2747 Amendment No.: 04 THIS AMENDMENT and the party whose is between the Washington State Health Care Authority and is effective as of the date set forth below. TO THE CONTRACT name appears below, CONTRACTOR NAME Kittitas County Public Health Network ASSIGNED SERVICE REGION/COUNTY Kittitas County CONTRACTOR ADDRESS 507 North Nanum St, Suite# 201 Ellensburg, WA 98926 WASHINGTON UNIFORM BUSINESS IDENTIFIER (uBr) HCA Contract No.: K2747-04 Page 1 of 20