ContractWashington Apple • July 13th, 2016 • Washington
WASHINGTON APPLE HEALTH 2016 FOSTER CAREApple Health Foster Care Contract HCA Contract Number: K1686 Contractor Contract Number:Competition Exempt 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, chapter 74.09 RCW and Title 182 WAC. CONTRACTOR NAME Coordinated Care of Washington, Inc. CONTRACTOR doing business as (DBA) 1145 Broadway, Suite 300Tacoma, WA 98402 WASHINGTON UNIFORM BUSINESS IDENTIFIER (UBI) HCA INDEX NUMBER CONTRACTOR CONTACT CONTRACTOR TELEPHONE CONTRACTOR E-MAIL ADDRESS HCA CONTACT NAME AND TITLE Alison Robbins Section Manager HCA CONTACT ADDRESS Post Office Box 45502 Olympia, WA 98504-5502 HCA CONTACT TELEPHONE360-725-1634 HCA CONTACT FAXN/A HCA CONTACT E-MAIL ADDRESSalison.robbins@hca.wa.gov IS THE CONTRACTOR A SUB-RECIPIENT FOR PURPOSES OF THIS CONTRACT? No CFDA NUMBER(S) CONTRACT START DATE 4/1/2016 CONTRACT END DATE 12/31/2017 MAXIMUM CONTRACT AMOUNT Per Member
Annual Provider Participation AgreementWashington Apple • January 17th, 2018
The purpose of this agreement is to allow participation in the Ground Emergency Medical Transportation Supplemental Reimbursement Program (GEMT Program) by the governmentally owned or operated provider, named above, subject to the provider’s compliance with the requirements and responsibilities set forth in this agreement.
