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This Program Agreement between the County and the State of Washington Department of Social and Health <br />Services (DSHS)is hereby amended as follows: <br />A.Exhibit B,Program Agreement Budget,is revised and replaced with Exhibit B-1,Program Agreement <br />Budget,which is attached hereto and incorporated herein. <br />B.The Special Terms and Conditions are revised and replaced with the following (excluding Exhibit A - <br />Exhibit A remains the same): <br />1.Definitions Specific to Program Agreement:The words and phrases listed below,as used in this <br />Program Agreement,shall each have the following definitions: <br />a."Acuity Level"means the level of a Client's abilities and needs as determined through the DDA <br />assessment. <br />b."ADSA Web Access (AWA)"means a web-based portal to the Developmental Disabilities <br />Administration CARE system designed to support county services for DDA clients. <br />c."Additional Consumer Services"refers to indirect Client service types as follows: <br />(1)"Community Information and Education":Activities to inform and/or educate the general public <br />about developmental disabilities and related services.These may include information and <br />referral services;activities aimed at promoting public awareness and involvement;and <br />community consultation,capacity building and organization activities. <br />(2)"Training":To increase the job related skills and knowledge of staff,providers,volunteers,orinterningstudentsintheprovisionofservicestopeoplewithdevelopmentaldisabilities.Also toenhanceprogramrelatedskillsofboardoradvisoryboardmembers. <br />(3)"Other Activities"reserved for special projects and demonstrations categorized into the following <br />types: <br />(a)Infrastructure projects:Projects in support of Clients (services not easily tracked back to a <br />specific working age Client)or that directly benefit a Client(s)but the Client is not of working <br />age.Examples include planning services like generic job development e.g."Project <br />Search". <br />(b)Start-up projects:Projects that support an agency or directly benefit the agency.Examples <br />include equipment purchases and agency administrative support. <br />(c)Partnership Project:Collaborative partnerships with school districts,employment providers, <br />DVR,families,employers and other community collaborators needed to provide the <br />employment supports and services young adults with developmental disabilities require to <br />become employed during the school year they turn twenty-one (21). <br />d."Budget and Accounting Reporting System (BARS)"means a master classification of balance <br />sheet,revenue and expenditurelexpense accounts. <br />e."Client"means a person with a developmental disability as defined in chapter 388-823 WAC who is <br />currently eligible and active with the Developmental Disabilities Administration or is an identified <br />PASRR Client. <br />f."Competitive Integrated Employment"means work performed by a Client on a part-time or full-time <br />basis,within an integrated setting within the community that meets HCBS settings requirements. <br />DSHS Central Contract Services <br />1769CP Contract Amendment (12-10-21)Page 2