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AI- 89042
Health & Human Services Dept.   14.A.
CC REGULAR AGENDA SPECIAL MTG
Meeting Date:
01/17/2023
Submitted For:
Eddie Olivarez
Submitted By:
Mike Escaname, HEALTH & HUMAN SERVICES DEPT.
Department:
HEALTH & HUMAN SERVICES DEPT.

CAPTION

Requesting approval of the Electronic Data Interchange with authority for Chief Administrative Officer, Eduardo Olivarez, to be the Provider Contact and for authorization to sign the Agreement.  The purpose of the Agreement is to facilitate the submittal of Medicare claims to CMS, electronically.  

BACKGROUND


Fiscal Impact

CALENDAR YEAR:
2023
ACCT. #:
N/A
FUNDS AVAILABLE Y/N?:
N/A
MATCHING FUNDS Y/N?:
N/A

BUDGETARY IMPACT:

No fiscal impact.

Attachments

Form Review

Inbox Reviewed By Date
Budget and Management Damiana Molina 01/06/2023 10:46 AM
Final Approval Monica Salinas 01/13/2023 04:54 PM
Form Started By:
Mike Escaname
Started On:
01/04/2023 02:10 PM
Final Approval Date:
01/13/2023