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Admatch K4649 Amendment 1
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12. December
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2022-12-20 10:00 AM - Commissioners' Agenda
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Admatch K4649 Amendment 1
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Last modified
12/15/2022 12:19:18 PM
Creation date
12/15/2022 12:16:48 PM
Metadata
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Meeting
Date
12/20/2022
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Supporting documentation
Supplemental fields
Item
Request to Approve Amendment 1 to the Health Care Authority-Medicaid Admatch
Order
7
Placement
Consent Agenda
Row ID
97382
Type
Agreement
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DocuSign Envelope ID: 262ABA18-5354-4F41-9508-9B13C8ACBA6D <br />Attachments <br />Attachment 1: Confidential Information Security Requirements <br />Attachment 2: Federal Compliance, Certifications, and Assurances <br />Attachment 3: Federal Award Identification for Subrecipients <br />Attachment 4: Federal Funding Accountability and Transparency Act Data Collection Form <br />Schedules <br />Schedule A: Statement of Work (SOW) Medicaid Administrative Claiming Services <br />Washington State Page 3 of 53 HCA IAA K4649 <br />Health Care Authority Revised 10/2020 <br />
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