Common Contracts

Contract

May 13th, 2005

• Filed
  May 13th, 2005

This section is amended to: Add a separate service specification for Targeted Support Coordination Targeted Case Management) on pages 7-9 to 7-14. Add a service specification for State Funded Support Coordination (State Funded Case Management) on pages 7-15 to 7-20. The following pages are attached: Revised SECTION 2 – TABLE OF CONTENTS, page 2-2 Revised SECTION 4 – BACKGROUND, page 4-4, 4-4(a) and 4-5Revised SECTION 7 – SERVICE SPECIFICATIONS, pages 7-1 to 7-20 Except as previously amended, all other provisions of the rfqva shall remain in their entirety. NOTE: THE DIVISION OF DEVELOPMENTAL DISABILITIES HAS PUBLISHED REVISED RATE SCHEDULES FOR STATE FISCAL YEAR 2005. Applicant hereby acknowledges receipt and understanding of the above RFQVA amendment. The above referenced RFQVA Amendment is hereby executed this 2nd day of May, 2005, at Phoenix, Arizona. Signature Date Typed Name and Title Name of Company