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LJUUUJIy, I GI IV CIVFJc ILJ. I L!! G I LjMr-.+uI u-•4DOL/-d7Gr V-DMLiFUr CJO.4CD <br />review local needs, utilization, and review the desk manual that outlines the ABCD contractual <br />deliverables and how the Contractor has met or plans to meet those deliverables. <br />E. Quarterly, the Contractor must submit a fully completed invoice that correlates with dollar values for <br />completed deliverables outlined in Attachment 2 that includes the following: <br />Exhibit templates, which are available on the ABCD website http://abcd-dental.org/for- <br />coordinaeors/; <br />ii. Each report must document the status of the SMART goals from the ABCD Action Plan <br />(Attachment 5), detailing specific achievements or ongoing effort; and <br />iii. Reports and billing must be submitted no later than one (1) month after each quarter end <br />date, unless otherwise mutually agreed by both parties. <br />3. Acceptance Criteria <br />Contractor may invoice for the deliverables listed below on completion of each <br />deliverable. HCA has the right to withhold payment if the Contractor fails to meet <br />deliverables standards. <br />a. HCA will consider the ABCD Yearly Budget Tool (Attachment 4) complete once HCA <br />confirms receipt of the report containing all required and relevant information. <br />b. HCA will consider the quarterly Community and Provider Outreach and Coordination <br />Care summary to be complete once HCA confirms receipt of the report containing the <br />ABCD Quarterly Community and Provider Outreach and Case Management Report <br />(Attachment 2) for the specific quarter; and the ABCD Quarterly Outreach and <br />Coordination of Care Report (Attachment 3). <br />c. HCA will consider the yearly ABCD Action Plan (Attachment 5) complete once HCA <br />has confirmed receipt of the report containing all required and relevant information <br />completed to HCA reasonable satisfaction. <br />4. Invoicing Schedule <br />The Invoicing Pricing Table below is for FY27 and FY28, and prior fiscal year invoicing schedules are <br />referenced in the prior Contract #K7461. Contractor shall invoice HCA once a quarter at the end of each <br />quarter for the amounts listed in the table below: <br />Deliverable Date Due to HCA Invoice Amount SFY27 I Invoice Amount SFY28 <br />July — September <br />+Coordinator Meeting Attendance <br />31-Oct <br />$1,000.00 <br />$1,000.00 <br />Community Outreach Report <br />$1,298.00 <br />$1,298.00 <br />Coordinate Care for Patients <br />$324.00 <br />$324.00 <br />Coalition/Steering Committee Tasks <br />$500.00 <br />$500.00 <br />July — September Total <br />$3,122.00 <br />$3,122.00 <br />October— December <br />HCA Contract No. K7461-2 Page 7 of 14 <br />