SIGNED FINAL 5-2-2023_State of Wisconsin Department of Health Services and SAUK CO PHD for Public Health Outreach Services for Forward Health Program Services

Contract Status:

Completed

Contract Type:

Service

Contract Source:

County

Contract Duration (months):

12months

Responsible Department:

Health

Vendor (Contractor):

State of WI Forward Health

Contract Value:

$28670

Contract Draft:

Final Contract:

GRANT AGREEMENT

between the

State of Wisconsin Department of Health Services

and

SAUK CO PHD

for

Public Health Outreach Services for ForwardHealth Program Services

DHS Grant Agreement No.: 435400-G24-56-430

Agreement Amount: $28,670

CARS Pre-Packet No: «Pack»

DHS Division: Division of Medicaid Services

DHS Grant Administrator: Myesha Thompson

DHS Telephone: 608-772-4813

Grantee Grant Administrator: Andrew Ringquist

Grantee Telephone: 608 355-4342

Grantee Unique Entity Identifier (UEI) Name:

Grantee Unique Entity Identifier (UEI) Number:

Grantee FEIN:

Supporting Documents