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Program Sponsorship Program Scope  Program Performance Measures  Incentive/Reward Characteristics Collaboration Characteristics Program Evaluation   PROGRAM SPONSORSHIP Formal name of the incentive and/or reward program initiative (if applicable) Program name Immunization and Well-Child Incentive Program Program sponsor(s) and parent organization of sponsor(s), if applicable Program sponsor(s) Department of Social and Health Services, Health and Recovery Services Administration, Medicaid Managed Care Parent organization Department of Social and Health Services Primary program contact information Name Barbara Lantz Title Contract Manager Organization Health and Recovery Services Administration Email lantzbk@dshs.wa.gov Phone (360) 725-1640 Sponsoring organization type Multiple Sponsors Employer/health plan/hospital coalition Government(s) State Health Plan(s) Multiple health plans Source of funding associated with program set-up costs Funding source Funded by program sponsor(s) Percent contributed by sponsor and grant organization % Sponsor 100 Source of funding associated with program operations costs Funding source Funded by program sponsor(s) Percent contributed by sponsor and by grant organization % Sponsor 100 Program operations cost $2.00 Start date & end date of the program Start Date 1/1/2004 End ongoing

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