Common Contracts
2 similar Washington Behavioral Health contracts
ContractWashington Behavioral Health • June 20th, 2019 • Washington
WASHINGTON BEHAVIORAL HEALTH – ADMINISTRATIVESERVICES ORGANIZATION CONTRACT HCA Contract Number: K3185 This Contract is between the State of Washington Health Care Authority (HCA) and the Contractor identified below, and is governed by chapter 41.05 RCW and Title 182 WAC. CONTRACTOR NAMENorth Sound Behavioral Health – Administrative Services Organization CONTRACTOR doing business as (DBA) North Sound BH-ASO CONTRACTOR ADDRESS301 Valley Mall Way, Suite 110 Mount Vernon, WA 98273 WASHINGTON UNIFORM BUSINESS IDENTIFIER (UBI) 603-583-336 CONTRACTOR CONTACTMargaret Rojas CONTRACTOR TELEPHONE (360) 416-7013 CONTRACTOR E-MAIL ADDRESSmargaret_rojas@nsbhaso.org HCA CONTACT NAME AND TITLEDaniel Highley HCA CONTACT ADDRESS626 8th Avenue SE Olympia, WA 98504 HCA CONTACT TELEPHONE (360) 725-1546 HCA CONTACT FAXN/A HCA CONTACT E-MAIL ADDRESSdanny.highley@hca.wa.gov IS THE CONTRACTOR A SUB-RECIPIENT FOR PURPOSES OF THIS CONTRACT?No CFDA NUMBER(S) N/A CONTRACT START DATEJune 1, 2019 CONTRACT END D
ContractWashington Behavioral Health • March 22nd, 2018 • Washington
WASHINGTON BEHAVIORAL HEALTH – ADMINISTRATIVESERVICES ORGANIZATION CONTRACT HCA Contract Number: This Contract is between the State of Washington Health Care Authority (HCA) and the Contractor identified below, and is governed by chapter 41.05 RCW and Title 182 WAC. CONTRACTOR NAME CONTRACTOR doing business as (DBA) CONTRACTOR ADDRESS WASHINGTON UNIFORM BUSINESS IDENTIFIER (UBI) CONTRACTOR CONTACT CONTRACTOR TELEPHONE CONTRACTOR E-MAIL ADDRESS HCA CONTACT NAME AND TITLE HCA CONTACT ADDRESS HCA CONTACT TELEPHONE HCA CONTACT FAXN/A HCA CONTACT E-MAIL ADDRESS IS THE CONTRACTOR A SUB-RECIPIENT FOR PURPOSES OF THIS CONTRACT? CFDA NUMBER(S) N/A CONTRACT START DATE CONTRACT END DATE MAXIMUM CONTRACT AMOUNT EXHIBITS. The following Exhibits are attached and are incorporated into this Contract by reference: Exhibits: Exhibit A, Funding Allocation; Exhibit B, Non-Medicaid Monthly Expenditure Report; Exhibit C, DSHS Reporting Requirements; ; Exhibit D, SAPT Capacity Management Form; Exhibit E, Ot
