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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 I 48287 -E90C-4289-8A0F-A1 4FA00E82AF <br />6. Exhibit A-2: ABCD Quarterly Community and Provider Outreach and Case Management Report <br />is replaced in its entirety with Exhibit A-3: ABCD Quarterly Community and Provider Outreach <br />and Case Management Report, attached hereto and incorporated herein. <br />7. Exhibit B-2: ABCD Quarterly Outreach and Coordination of Care Report is replaced in its entirety <br />with Exhibit B-3: ABCD Quarterly Outreach and Coordination of Care Report, attached hereto <br />and incorporated herein. <br />8. Exhibit C-1: ABCD Yearly Budget Tool is replaced in its entirety with Exhibit C-2: ABCD yearty <br />Budget Tool, attached hereto and incorporated herein. <br />9. This Amendment will be effective July 1 ,2022 ("Effective Date"). <br />10.All capitalized terms not othenruise defined herein have the meaning ascribed to them in the <br />Contract. <br />1 1. All other terms and conditions of the Contract remain unchanged and in full force and effect. <br />The parties signing below warrant that they have read and understand this Amendment and have <br />authority to execute the Amendment. This Amendment will be binding on HCA only upon signature by <br />both parties. <br />PRINTED NAME AND TITLE <br />elsey Loeffers Public Health Director <br />DATE SIGNED <br />- (zt fzz <br />HCA SIGNATURE PRINTED NAME AND TITLE <br />DocuSigned by:tt*rJL <br />-+,,,-^;^*chelleAmerine ContractsAdministrator <br />DATE SIGNED <br />6t3t2022 <br />HCA Contract No.: K2747-04 <br />Page 3 of20
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