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