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FiledJune 16th, 2022THIS DOCUMENT REPRESENTS ALL INCORPORATED AMENDMENTS AND EXHIBITS FROM JULY 2020 THROUGH AMENDMENT #4. AMENDMENT #4 IS EFFECTIVE July 1, 2022. NOTE: Amerigroup
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FiledDecember 17th, 2020THIS DOCUMENT REPRESENTS ALL INCORPORATED AMENDMENTS AND EXHIBITS FROM JULY 2020 THROUGH AMENDMENT #1. AMENDMENT #1 IS EFFECTIVE JANUARY 1, 2021.
THIS DOCUMENT IS A RESTATED CONTRACT WITH AN EFFECTIVE DATE OF JULY 1, 2020.June 25th, 2020
FiledJune 25th, 2020WASHINGTON BEHAVIORIAL HEALTH SERVICES INTEGRATED FOSTER CARE WRAPAROUND CONTRACT HCA Contract Number: K4612 Resulting from Solicitation Number (If applicable): 15-002 THIS CONTRACT is made by and between the Washington State Health Care Authority ("HCA") and the party whose name appears below ("Contractor”). CONTRACTOR NAME CONTRACTOR ADDRESS WASHINGTON UNIFORM BUSINESS IDENTIFIER (UBI) CONTRACTOR CONTACT CONTRACTOR TELEPHONE CONTRACTOR E-MAIL ADDRESS HCA PROGRAM HCA DIVISION/SECTION HCA CONTACT NAME AND TITLE HCA CONTACT ADDRESS HCA CONTACT TELEPHONE HCA CONTACT E-MAIL ADDRESS IS THE CONTRACTOR A SUBRECIPIENT FORPURPOSES OF THIS CONTRACT?YES NO CFDA NUMBER(S)N/A FFATA Form RequiredYES NO CONTRACT START DATE July 1, 2020 CONTRACT END DATE December 31, 2020 TOTAL MAXIMUM CONTRACT AMOUNT $ PURPOSE OF CONTRACT:Contract for Foster Care BH Wrap Around Services ATTACHMENTS/EXHIBITS. When the box below is marked with an X, the following Exhibits/Attachments are attached and are incorpora
THIS DOCUMENT IS A RESTATED CONTRACT WITH AN EFFECTIVE DATE OF JULY 1, 2020.June 25th, 2020
FiledJune 25th, 2020WASHINGTON BEHAVIORIAL HEALTH SERVICES INTEGRATED MANAGED CAREWRAPAROUND CONTRACT HCA Contract Number: Resulting from Solicitation Number (If applicable): THIS CONTRACT is made by and between the Washington State Health Care Authority ("HCA") and the party whose name appears below ("Contractor”). CONTRACTOR NAME«Organization_Name» CONTRACTOR ADDRESS«City», «State» «Zip_Code» WASHINGTON UNIFORM BUSINESS IDENTIFIER (UBI)«UBI» CONTRACTOR CONTACT«Contact_Fname» «Contact_LName» CONTRACTOR TELEPHONE«PhoneNo» CONTRACTOR E-MAIL ADDRESS«EmailAddress» HCA PROGRAMManaged Care Program HCA DIVISION/SECTIONMedicaid Program Operations and Integrity HCA CONTACT NAME AND TITLE HCA CONTACT ADDRESSPost Office Box 45502 Olympia, WA 98504-5502 HCA CONTACT TELEPHONE HCA CONTACT E-MAIL ADDRESS IS THE CONTRACTOR A SUBRECIPIENT FOR PURPOSES OF THIS CONTRACT?YES NO CFDA NUMBER(S); ; ; FFATA Form RequiredYES NO CONTRACT START DATE July 1, 2020 CONTRACT END DATEDecember 31, 2020 PRIOR MAXIMUM CONTRACT AMOUNT