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HCA Contract No. K7759-01 Page 7 of 8 <br />• Operating <br />expenses for <br />SM teams for <br />medical and <br />other supplies, <br />lab services, <br />vehicle <br />maintenance, <br />and incidental <br />costs. <br /> <br />Quarterly <br />Report <br />Contractor will provide <br />summary written report of <br />contract-related progress <br />each quarter <br />10/20/2024 <br />1/20/2025 <br />4/20/2025 <br />3 $33,333.00 each $100,000.00 <br />Final Report Detailed report, including: <br />• Details on <br />Medicaid <br />billing <br />• Challenges <br />and Barriers to <br />providing and <br />implementing <br />care <br />• Summary of <br />budget; <br />including <br />expenditures <br />and how funds <br />were utilized <br />• Lessons <br />learned and <br />future <br />implementation <br />plans <br />06/01/2025 1 $25,000.00 each $25,000.00 <br /> FY25 Total $500,000.00 <br /> <br />FY 26 (July 2025 – June 2026) <br />Deliverable Description Due date # of Reports/ <br />Payments <br />Payment Amount Deliverable <br />Total Amount <br />Quarterly <br />report <br />Contractor will provide <br />summary written report of <br />contract-related progress <br />each quarter <br />10/30/2025 <br />01/30/2026 <br />4/30/2026 <br /> <br />3 $89,500.00 each <br /> <br />$268,500.00 <br />Final <br />Report <br />Detailed report, including: <br />• Details on <br />Medicaid <br />billing <br />• Challenges <br />and Barriers to <br />providing and <br />implementing <br />care <br />• Summary of <br />budget; <br />including <br />expenditures <br />06/01/2026 1 $89,500.00 each $89,500.00 <br />Docusign Envelope ID: BA5A7EFA-772A-4417-9B4B-83C72073A952