Common Contracts

THIS DOCUMENT IS A RESTATED CONTRACT WITH AN EFFECTIVE DATE OF JULY 1, 2020.

Wraparound Contract • June 25th, 2020

• Contract Type
  Wraparound Contract
• Filed
  June 25th, 2020

WASHINGTON 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