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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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EXHIBIT D <br />ACKNOWLEDGEMENT OF REvmw OF PROVIDER MANUAL <br />Contractor hereby acknowledges review of CHPW's Provider Manual and acknowledges that the <br />Provider Manual was made available to Contractor for review prior to Contractor's decision to <br />enter into this Agreement. The Provider Manual is available at CHPW's website at <br />www.CHPW.or. <br />Effective Date: <br />Date of Review: <br />Initials of Contractor's Authorized Representative: <br />(CHPW TO COMPLETE) <br />2020 Facility Agmt — Template Page 50 of 51 Contract #lContract #}- (PRC Agreement ID) <br />
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