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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Today's Date: May 8, 2023 <br />Fund/Department: 1/10t" of 1% Mental Health and <br />Chemical Dependency Tax <br />Contract/Grant Information <br />Contract /Grant Agency: Comprehensive Healthcare <br />Period Begin Date: July 1, 2023 <br />Total Grant/Contract Amount: $103,420.00 <br />Grant/Contract Number: <br />PA Camas Request #: <br />Agenda Date: <br />�--lS�.."_� r <br />�A.- <br />I?. <br />li]'! lll',L51"!T71 <br />Period End Date: Dec. 31, 2023 <br />Contract/Grant Summary: Comprehensive Healthcare will contract with Kittitas Valley Healthcare <br />Hospital to provide continuation of two Crisis Case Managers to assist with behavioral health patients in <br />the emergency department for a total of 70 hours a week of coverage. <br />Recommendation for Board of Health Review on <br />Department Head Signature: Director Date: <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: <br />APPROVED A5 TO FORM: <br />Signature of Prosecutor's Office Date <br />Signature of Auditor's Office Date <br />Verification the Contracting Agency is not Suspended/Disbarred: <br />❑x Agency is not suspended/disbarred ❑ Not Checked (reason) <br />Grant/Contract Review Page 1 <br />