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SHJ25-009 KCJ AND CHPW - PARTIALLY EXECUTED
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2025-06-17 10:00 AM - Commissioners' Agenda
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SHJ25-009 KCJ AND CHPW - PARTIALLY EXECUTED
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Last modified
6/12/2025 12:54:55 PM
Creation date
6/12/2025 12:49:59 PM
Metadata
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Template:
Meeting
Date
6/17/2025
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 Agreement SHJ25-009 Community Health Plan of Washington - 1115 Medicaid Re-Entry Initiative
Order
16
Placement
Consent Agenda
Row ID
132242
Type
Contract
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The undersigned have executed this Agreement as of the date and year written below. <br />Community Health Plan of Washington <br />1111 Third Avenue, Suite 400 <br />Seattle, WA 98101-3292 <br />Phone: (206) 521-8833 <br />Sign: <br />Kittitas County Sheriff's Office <br />307 W Umptanum Road <br />Ellensburg, WA 98926 <br />Phone: 509-962-7525 <br />Sign: -- <br />Name: Erin Hafer Name: el-4!4 41 y e 2 5 <br />Title: Senior Vice President, Delivery & Title: <br />Health System Innovation _ S <br />Date: <br />Date: �4 - 5— - AC' �--+r- <br />2020 Facility Agmt — Template Page 24 of 51 Contract #{Contract #}-{PRC Agreement ID} <br />
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