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Grant Related - BOCC (004)
GRANT COUNTY COMMISSIONERS AGENDA MEETING REQUEST FORM (Must be submitted to the Clerk of the Board by 12:00pm on Thursday) REQUESTING DEPARTMENT: BOCC REQUEST SUBMITTED BY: K Stockton CONTACT PERSON ATTENDING ROUNDTABLE: Kal"1"le Stockton CONFIDENTIAL INFORMATION: ❑YES BNO onrE:10/06/2026 PHONE:2937 ❑Agreement / Contract ❑AP Vouchers ❑Appointment / Reappointment DARPA Related ❑ Bids / RFPs / Quotes Award ❑ Bid Opening Scheduled ❑ Boards / Committees ❑ Budget ❑Computer Related ❑County Code ❑Emergency Purchase ❑Employee Rel. ❑ Facilities Related ❑ Financial ❑ Funds ❑ Hearing []Invoices / Purchase Orders ® Grants — Fed/State/County ❑ Leases ❑ MOA / MOU []Minutes ❑ Ordinances ❑ Out of State Travel ❑ Petty Cash ❑ Policies ❑ Proclamations ❑ Request for Purchase ❑ Resolution ❑ Recommendation ❑ Professional Serv/Consultant ❑ Support Letter ❑ Surplus Reg. ❑Tax Levies []Thank You's ❑Tax Title Property ❑WSLCB N 19 LC Esummo po Reimbursement request from Renew on the American Rescue Plan Act (ARPA) in the amount of $37,023.53 under the Uninsured SUDS category. If necessary, was this document reviewed by accounting? ❑ YES If necessary, was this document reviewed by legal? ❑ YES ❑ NO DATE OF ACTION: l/- .3�� APPROVE: DENIED ABSTAIN D1: D2: D3: U ❑NO *N/A DEFERRED OR CONTINUED TO: WITHDRAWN: R N/A 4/2 3/24 eneuu Grant Behavioral Health 6 Wellness PO Box 1057 Moses Lake, WA 98837 Phone (509) 765-9239 BILL TO: Grant County Attention: Karrie PO Box 37 Ephrata, WA 98823 THANK YOU FOR YOUR BUSINESS! DATE: October 5, 2026 Service Date Service ID CPT Code Client ID Visit Type Location Service Amount Client Due 3/20/2024 702107 96165 12546362 Group Non -Residential SUD Tx Facility $ 70.00 $ 3.00 3/27/2024 704823 96164 12546362 Group Non -Residential SUD Tx Facility $ 35.00 $ 35.00 3/27/2024 704824 96165 12546362 Group Non -Residential SUD Tx Facility $ 70.00 $ 70.00 4/3/2024 707787 96164 12546362 Group Non -Residential SUD Tx Facility $ 35.00 $ 35.00 4/3/2024 707788 96165 12546362 Group Non -Residential SUD Tx Facility $ 70.00 $ 70.00 4/10/2024 710023 90832 12546362 SUD Services Non -Residential SUD Tx Facility $ 80.00 $ 80.00 4/10/2024 710538 96164 12546362 Group Non -Residential SUD Tx Facility $ 35.00 $ 35.00 4/10/2024 710539 96165 12546362 Group Non -Residential SUD Tx Facility $ 70.00 $ 70.00 4/17/2024 713451 96164 12546362 Group Non -Residential SUD Tx Facility $ 35.00 $ 35.00 4/17/2024 713452 96165 12546362 Group Non -Residential SUD Tx Facility $ 70.00 $ 70.00 4/24/2024 716892 96164 12546362 Group Non -Residential SUD Tx Facility $ 35.00 $ 35.00 4/24/2024 716893 96165 12546362 Group Non -Residential SUD Tx Facility $ 70.00 $ 70.00 5/1/2024 719755 96164 12546362 Group Non -Residential SUD Tx Facility $ 35.00 $ 35.00 5/1/2024 719756 96165 12546362 Group Non -Residential SUD Tx Facility $ 70.00 $ 70.00 5/8/2024 721778 90832 12546362 SUD Services Non -Residential SUD Tx Facility $ 80.00 $ 80.00 5/8/2024 723136 96164 12546362 Group Non -Residential SUD Tx Facility $ 35.00 $ 35.00 5/8/2024 723137 96165 12546362 Group Non -Residential SUD Tx Facility $ 70.00 $ 70.00 5/15/2024 725532 96165 12546362 Group Non -Residential SUD Tx Facility $ 70.00 $ 70.00 5/15/2024 725531 96164 12546362 Group Non -Residential SUD Tx Facility $ 35.00 $ 35.00 5/22/2024 728614 96164 12546362 Group Non -Residential SUD Tx Facility $ 35.00 $ 35.00 5/22/2024 728615 96165 12546362 Group Non -Residential SUD Tx Facility $ 70.00 $ 70.00 5/29/2024 730790 90832 12546362 SUD Services Non -Residential SUD Tx Facility $ 80.00 $ 80.00 6/3/2024 732263 H0015 12546362 IOP Non -Residential SUD Tx Facility $ 140.00 $ 140.00 6/4/2024 732889 H0015 12546362 IOP Non -Residential SUD Tx Facility $ 140.00 $ 140.00 6/6/2024 734062 H0015 12546362 IOP Non -Residential SUD Tx Facility $ 140.00 $ 140.00 6/10/2024 735492 H0015 12546362 IOP Non -Residential SUD Tx Facility $ 105.00 $ 105.00 6/11/2024 736036 H0015 12546362 IOP Non -Residential SUD Tx Facility $ 140.00 $ 140.00 6/13/2024 737094 H0015 12546362 IOP Non -Residential SUD Tx Facility $ 140.00 $ 140.00 6/17/2024 738382 H0015 12546362 IOP Non -Residential SUD Tx Facility $ 140.00 $ 140.00 6/20/2024 739128 H0015 12546362 IOP Non -Residential SUD Tx Facility $ 122.50 $ 122.50 6/24/20241 7401221 96165 12546682 Group EP SUD $ 70.00 $ 40.00 6/24/2024 739860 H0015 12546362 IOP Non -Residential SUD Tx Facility $ 122.50 $ 122.50 6/25/2024 741141 H0015 12546362 IOP Non -Residential SUD Tx Facility $ 140.00 $ 140.00 6/27/2024 741577 H0015 12546362 IOP Non -Residential SUD Tx Facility $ 140.00 $ 140.00 6/27/2024 741639 H0004 12546362 SUD IOP-Individual Non -Residential SUD Tx Facility $ 80.00 $ 80.00 7/1/2024 742880 96164 12546682 Group EP SUD $ 35.00 $ 35.00 7/1/2024 742881 96165 12546682 Group EP SUD $ 70.00 $ 70.00 7/1/2024 742925 H0015 12546362 IOP Non -Residential SUD Tx Facility $ 140.00 $ 140.00 7/11/2024 747086 90837 12546682 SUD Services Office/Clinic - Ephrata $ 160.00 $ 160.00 7/11/2024 746986 90834 12545256 SUD Services Office/Clinic - Ephrata $ 120.00 $ 79.06 7/15/2024 748002 96164 12546682 Group EP SUD $ 35.00 $ 35.00 7/ 15/2024 748003 96165 12546682 Group EP SUD $ 70.00 $ 70.00 7/17/2024 749282 96164 12545256 Group EP SUD $ 105.00 $ 105.00 7/22/2024 750806 96164 12546682 Group EP SUD $ 35.00 $ 35.00 7/22/2024 750807 96165 12546682 Group EP SUD $ 70.00 $ 70.00 7/23/2024 751218 96164 12531717 Group Non -Residential SUD Tx Facility $ 105.00 $ 27.42 7/29/2024 753655 96164 12546682 Group EP SUD $ 35.00 $ 35.00 7/29/2024 753656 96165 12546682 Group EP SUD $ 70.00 $ 70.00 7/29/2024 753348 90834 12531717 Individual Office/Clinic - Moses Lake $ 180.00 $ 40.00 7/30/2024 753868 96164 12531717 Group Non -Residential SUD Tx Facility $ 10500 . $ 31.21 7/31/2024 754838 96164 12545256 Group EP SUD $ 105.00 $ 105.00 8/6/2024 756513 96164 12531717 Group Non -Residential SUD Tx Facility $ 105.00 $ 31.21 8/7/2024 757349 96164 12546682 Group EP SUD $ 35.00 $ 35.00 8/7/2024 757350 96165 12546682 Group EP SUD $ 70.00 $ 70.00 8/7/2024 757343 96164 12545256 Group EP SUD $ 105.00 $ 105.00 8/13/2024 759336 H0001 12543855 Intake EP SUD $ 250.00 $ 30.00 8/ 14/2024 760068 96164 12546682 Group EP SUD $ 35.00 $ 35.00 8/ 14/2024 760069 96165 12546682 Group EP SUD $ 70.00 $ 70.00 8/ 14/2024 760062 96164 12545256 Group EP SUD $ 105.00 $ 105.00 8/14/2024 760096 90832 12545256 SUD Services EP SUD $ 80.00 $ 5.94 8/21/2024 762568 96164 12546682 Group EP SUD $ 35.00 $ 35.00 1 8/21/2024 762569 96165 12546682 Group u p EP SUD $ 70.00 $ 70.00 8/21/2024 762562 96164 12545256 Group EP-SUD $ 105.00 $ 105.00 8/23/20241 763310 90834_1 12543855 SUD Services JEPSUD $ 120.00 $ 120.00 8/27/2024 765292 90792 12531717 Med Intake Office/Clinic - Moses Lake $ 500.00 $ 1.46 8/28/2024 765325 96164 12546682 Group EP SUD $ 35.00 $ 35-00 8/28/2024 765326 96165 12546682 Group EP SUD $ 70.00 $ 70.00 8/28/2024 765323 96164 12545256 Group EP SUD $ 105.00 $ 105-00 8/29/2024 765805 96165 12544027 Group Non -Residential SUD Tx Facility $ 70-00 $ 70.00 9/3/2024 766307 H0015 12546362 IOP Non -Residential SUD Tx Facility $ 122.50 $ 122.50 9/4/2024 767856 90832 12546682 SUD Services EP SUD $ 80.00 $_ 80.00 9/4/2024 767870 96164 12546682 Group EP SUD $ 35.00 $ 35-00 9/4/2024 767871 96165 12546682 Group EP SUD $ 70.00 $ 70.00 9/5/2024 767940 H0015 12546362 IOP Non -Residential SUD Tx Facility $ 122.50 $ 122.50 9/5/2024 769086 96164 12544027 Group Non -Residential SUD Tx Facility $ 35.00 $ 35.00 9/5/2024 769087 96165 12544027 Group Non -Residential SUD Tx Facility $ 70.00 $ 70.00 9/9/2024 768788 H0015 12546362 IOP Non -Residential SUD Tx Facility $ 122.50 $ 122.50 9/10/2024 769488 H0015 12546362 IOP Non -Residential SUD Tx Facility $ 122.50 $ 122.50 9/11/2024 770496 96164 12546682 Group EP SUD $ 35.00 $ 35.00 9/11/2024 770497 96165 12546682 Group EP SUD $ - 70.00 $ 70.00 9/11/2024 770493 96164 12545256 Group EP SUD $ 105.00 $_ 60.00 9/12/2024 770331 H0015 12546362 IOP Non -Residential SUD Tx Facility $ 122.50 $ 122.50 9/12/2024 770644 96164 12544027 Group Non -Residential SUD Tx Facility $ 35-00 $ 35-00 9/12/2024 770645 96165 12544027 Group Non -Residential SUD Tx Facility $ 70.00 $ 70.00 9/16/2024 771519 H0015 12546362 IOP Non -Residential SUD Tx Facility $ 140.00 $ 140.00 9/17/2024 772596 H0015 12546362 IOP Non -Residential SUD Tx Facility $ 140.00 $ 140.00 9/18/2024 773328 96165 12546682 Group EP SUD $ 70.00 $ 70.00 9/18/2024 773327 96164 12546682 Group EP SUD $ 35-00 $ 35-00 9/18/2024 773324 96164 12545256 Group EP SUD $ 105.00 $ 105.00 9/19/2024 773115 96164 12546645 Group Non -Residential SUD Tx Facility $ 35.00 $ 1.38 9/19/2024 773116 96165 12546645 Group Non -Residential SUD Tx Facility $ 70.00 _$ 1.92 9/19/2024 773395 H0015 12546362 IOP Non -Residential SUD Tx Facility $ 140.00 $ 140.00 9/19/2024 773493 H0004 12546362 SUD IOP-Individual Non -Residential SUD Tx Facility $ 160-00 $ 160-00 9/19/2024 773348 96164 12544027 Group Non -Residential SUD Tx Facility $ 35-00 $ 35-00 9/19/2024 773349 96165 12544027 Group Non -Residential SUD Tx Facility $ 70.00 $ 70.00 9/19/2024 774056 90832112545256 SUD Services EP SUD $ 80-00 $ 80-00 9/24/20241 774451 96164,125463621 Group Non -Residential SUD Tx Facility $ 35-00 $ 35.00 9/24/2024 774452 96165 12546362 Group Non -Residential SUD Tx Facility $ 70-00 $ 70.00 9/25/2024 775314 96164 12546682 Group EP SUD $ 35-00 $ 351-00 9/25/2024 775315 96165 12546682 Group EP SUD $ 70-00 $ -70.001 9/25/2024 775311 96164 12545256 Group EP SUD $ 105.00 $ 105.00 9/26/2024 775530 96165 12546645 Group Non -Residential SUD Tx Facility $ 70.00 $ 10.00 9/26/2024 775834 96164 12544027 Group Non -Residential SUD Tx Facility $ 35.00 $ 35.00 9/26/2024 775835 96165 12544027 Group Non -Residential SUD Tx Facility _$ 70-00 $ 70.00 10/1/2024 777437 H0015 12545098 IOP Non -Residential SUD Tx Facility $ 35-00 $ 8.08 10/1/2024 786538 96165 12545098 IOP Non -Residential SUD Tx Facility $ 105.00 $ 6.92 10/2/2024 778255 96164 12546682 Group EP SUD $ 35-00 $ 35-00 10/2/2024 778256 96165 12546682 Group EP SUD $ 70.00 $ 70.00 10/2/2024 778252 96164 12545256 Group EP SUD $ 105.00 $ 105.00 10/3/2024 778244 96164 12546645 Group Non -Residential SUD Tx Facility $ 35.00 $ 8.08 10/3/2024 778245 96165 12546645 Group Non -Residential SUD Tx Facility $ 70.00 $ 1.92 10/3/2024 778547 H0015 12545098 IOP Non -Residential SUD Tx Facility $ 35.00 $ 8.08 10/3/2024 786539 96165 12545098 IOP Non -Residential SUD Tx Facility $ 175-00 $ 6.92 10/3/2024 778605 96164 12544027 Group Non -Residential SUD Tx Facility $ 35-00 _$ 35.00 10/3/2024 778606 96165 12544027 Group Non -Residential SUD Tx Facility $ 70.00 $ 70.00 10/7/2024 779747 H0015 12545098 IOP Non -Residential SUD Tx Facility $ 35.00 $ 8.08 10/7/2024 786540 96165 12545098 IOP Non -Residential SUD Tx Facility $ 175.00 $ 6.92 10/8/2024 779889 96164 12546362 Group Non -Residential SUD Tx Facility $ 35-00 $ 35-00 10/8/2024 779890 96165 12546362 Group Non -Residential SUD Tx Facility $ 70.00 _$ 70.00 10/8/2024 786542 96165 12545098 IOP Non -Residential SUD Tx Facility $ 175.00 $ 15.00 10/9/2024 781440 96165 12546682 Group EP SUD $ 70.00 $ 70.00 10/9/2024 781439 96164 12546682 Group EP SUD $ 35.00 $ 35-00 10/9/2024 781438 96164 12545256 Group EP SUD $ 105-00 _$ 105.00� 10/10/2024 781260 96164 12546645 Group Non -Residential SUD Tx Facility $ 35.00 $ 8.08 10/10/2024 781261 96165 12546645 Group Non -Residential SUD Tx Facility $ 70.00 $ 1.92 10/10/2024 781533 H0015 12545098 IOP Non -Residential SUD Tx Facility $ 35.00 $ 8.08 10/10/2024 786546 96165 12545098 IOP Non -Residential SUD Tx Facility $ 175-00 $ 6.92 10/10/2024 781863 96165 12544027 Group Non -Residential SUD Tx Facility $ 70.00 $ 70.00 10/10/2024 781862 96164 12544027 Group Non -Residential SUD Tx Facility $ 35.00 $ 35-00 10/10/20241 782823. 90832. 12545256 SUD Services EP SUD 1 $ 80.00 $ 80-00 10/11/2024 782002 90832 12544027 SUD Services Non -Residential SUD Tx Facility $ 80-00 $ 80-00 10/14/2024 782465 H0015 12545098 IOP Non -Residential SUD Tx Facility $ 35.00 $ 8.08 10/14/2024 786550 96165 12545098 IOP Non -Residential SUD Tx Facility $ 175-00 $ 6.92 10/14/2024 782261 90834 12531717 Individual Office/Clinic - Moses Lake $ 180-00 $ 40.00 10/15/2024 782647 96164 12546362 Group Non -Residential SUD Tx Facility $ 35-00 $ 35.00 10/15/2024 782648 96165 12546362 Group Non -Residential SUD Tx Facility $ 70.00 $ 70.00 10/16/2024 785143 96164 12546682 Group EP SUD $ 35.00 $ 35-00 10/16/2024 785144 96165 12546682 Group EP SUD $ 70.00 $ 70.00 10/16/2024 785140 96164 12545256 Group EP SUD 105.00 $ 105.00 10/17/2024 783914 96164 12546645 Group Non -Residential SUD Tx Facility $ 35.00 $ 8.08 10/17/2024 783915 96165 12546645 Group Non -Residential SUD Tx Facility $ 70.00 $ 1.92 10/17/2024 785130 90834 12546682 SUD Services Office/Clinic - Ephrata $ 120.00 $ 120.00 10/17/2024 783955 H0015 12545098 IOP Non -Residential SUD Tx Facility $ 35-00 $_ 8.08 10/17/2024 784396 90832 12543855 SUD IOP-Individual Non -Residential SUD Tx Facility $ 80-00 $ 80.00 10/17/2024 784260 H0004 12544027 Discharge Non -Residential SUD Tx Facility $ 40.00 $ 40.00 10/17/2024 784308 96164 12544027 Group Non -Residential SUD Tx Facility $ 35.00 $ 35.00 10/17/2024 784309 96165 12544027 Group Non -Residential SUD Tx Facility $ 70.00 $ 70.00 10/21/2024 786552 96165 12545098 IOP Non -Residential SUD Tx Facility $ 175-00 $ 6.92 10/21/2024 785104 H0015 12545098 IOP Non -Residential SUD Tx Facility $ 35.00 $ 8.08 10/22/2024 785395 96164 12546362 Group Non -Residential SUD Tx Facility $ 35.00 $ 35.00 10/22/2024 7853961 96165 12546362 Group Non -Residential SUD Tx Facility $ 70.00 $ 70.00 10/22/2024 786555 96165 12545098 IOP Non -Residential SUD Tx Facility $ 175.00 $ 6.92 10/22/2024 785438 H0015 12545098 IOP Non -Residential SUD Tx Facility $ 35.00 $ 8.08 10/22/2024 786991 H0015 12543855 IOP Non -Residential SUD Tx Facility $ 192.50 $ 192.50 10/23/2024 787810 96164 12546682 Group EP SUD $ 35.00 $ 35.00 10/23/2024 787811 96165 12546682 Group EP SUD $ 70.00 $ 70.00 10/23/2024 787807 96164 125452561Group EP SUD $ 105.00 $ 105.00 10/24/2024 786408 96164 12546645 Group Non -Residential SUD Tx Facility $ 35.00 $ 8.08 10/24/2024 786409 96165 12546645 Group Non -Residential SUD Tx Facility $ 70.00 $ 1.92 10/24/2024 786570 H0015 12545098 IOP Non -Residential SUD Tx Facility $ 35-00 $ 8.08 10/24/2024 786571 96165 12545098 IOP Non -Residential SUD Tx Facility $ 175.00 $ 6.92 10/28/2024 787631 H0015 ' 12545098 IOP Non -Residential SUD Tx Facility $ 35.00 $ 8.08 110/28/20241 7876321 96165112545098, 10P Non -Residential SUD Tx Facility $ 175-00 $_ 6.92 10/28/2024 787502 90834 12531717 Individual Office/Clinic -Moses Lake $ 180.00 $ 40.00 10/29/2024 787962 96164 12546362 Group Non -Residential SUD Tx Facility $ 35.00 $ 35.00 10/29/2024 787963 96165 12546362 Group Non -Residential SUD Tx Facility $ 70.00 $ 70.00 10/29/2024 788422 H0015 12545098 IOP Non -Residential SUD Tx Facility $ 35.00 $ 7.94 10/29/2024 788423 96165 12545098 IOP Non -Residential SUD Tx Facility $ 35.00 $ 7.06 10/29/2024 788466 H0015 12543855 IOP Non -Residential SUD Tx Facility $ 192.50 $ 192.50 10/30/2024 789373 96164 12546682 Group EP SUD $ 35.00 $ 35.00 10/30/2024 789374 96165 12546682 Group EP SUD $ 70.00 $ 70.00 10/30f2024 788829 90834 12546362 SUD Services Non -Residential SUD Tx Facility $ 120.00 $ 120.00 10/30/2024 789372 96164 12545256 Group EP SUD $ 105.00 $ 105.00 10/31/2024 789355 96165 12546645 Group Non -Residential SUD Tx Facility $ 70.00 $ 10.00 10/31/2024 789527 H0015 12545098 IOP Non -Residential SUD Tx Facility $ 35.00 $ 8.08 10/31/2024 789528 96165 12545098 IOP Non -Residential SUD Tx Facility $ 175.00 $ 6.92 11/4/2024 791126 H0015 12545098 IOP Non -Residential SUD Tx Facility $ 35.00 $ 8.08 11/4/2024 791127 96165 12545098 IOP Non -Residential SUD Tx Facility $ 175.00 $ 6.92 11/5/2024 791033 96164 12546362 Group Non -Residential SUD Tx Facility $ 35.00 $ 35.00 11/5/2024 791034 96165 12546362 Group Non -Residential SUD Tx Facility $ 70.00 $ 70.00 11/5/2024 791003 90832 12545098 SUD IOP-Individual Non -Residential SUD Tx Facility $ 80.00 $ 15.00 11/6/2024 793869 96164 12546682 Group EP SUD $ 35.00 $ 35.00 11/6/2024 793870 96165 12546682 Group EP SUD $ 52.50 $ 52.50 11/6/2024 793873 96164 12545256 Group EP SUD $ 105.00 $ 105.00 11/7/2024 792301 96164 12546645 Group Non -Residential SUD Tx Facility $ 35.00 $ 8.08 11/7/2024 792302 96165 12546645 Group Non -Residential SUD Tx Facility $ 70.00 $ 1.92 11/7/2024 792599 H0015 12545098 IOP Non -Residential SUD Tx Facility $ 35.00 $ 8.08 11/7/2024 792600 96165 12545098 IOP Non -Residential SUD Tx Facility $ 175.00 $ 6.92 11/12/2024 793486 96164 12546362 Group Non -Residential SUD Tx Facility $ 35.00 $ 35.00 11/12/2024 793487 96165 12546362 Group Non -Residential SUD Tx Facility $ 70.00 $ 70.00 11/12/2024 793861 96165 12545098 IOP Non -Residential SUD Tx Facility $ 175.00 $ 6.92 11/12/2024 793860 H0015 12545098 IOP Non -Residential SUD Tx Facility $ 35.00 $ 8.08 11/13/2024 795830 96164 12546682 Group EP SUD $ 35.00 $ 35.00 11/13/2024 795831 96165 12546682 Group EP SUD $ 70.00 $ 70.00 11/13/2024 795825 96164 12545256 Group EP SUD $ 105.00 $ 105.00 11/14/2024 794707 96164 12546645 Group Non -Residential SUD Tx Facility $ 35.00 $ 8.08 11/14/2024 794708 96165 12546645 Group Non -Residential SUD Tx Facility $ 70.00 $ 1.92 11/14/2024 794983 H0015 12545098 IOP Non -Residential SUD Tx Facility $ 35.00 $ 8.08 11/14/2024 794984 96165 12545098 IOP Non -Residential SUD Tx Facility $ 175.00 $ 6.92 11/18/2024 796659 H0015 12545098 IOP Non -Residential SUD Tx Facility $ 35.00 $ 8.08 11/18/2024 796660 96165 12545098 IOP Non -Residential SUD Tx Facility $ 175.00 $ 6.92 11/18/2024 796852 H 0004 12545256 Discharge E P SUD $ 120.00 $ 120.00 11/18/2024 796015 90834 12531717 Individual Office/Clinic - Moses Lake $ 180.00 $ 40.00 11/19/2024 797415 H 0001 12544592 1 nta ke E P SUD $ 250.00 $ 100.00 11/19/2024 796433 96165 12546362 Group Non -Residential SUD Tx Facility $ 70.00 $ 70.00 11/19/2024 796432 96164 12546362 Group Non -Residential SUD Tx Facility $ 35.00 $ 35.00 11/19/2024 796827 96165 12545098 IOP Non -Residential SUD Tx Facility $ 175.00 $ 6.92 11/19/2024 796826 H0015 12545098 IOP Non -Residential SUD Tx Facility $ 35.00 $ 8.08 11/20/2024 797381 90832 12539086 SUD Services Non -Residential SUD Tx Facility $ 80.00 $ 18.00 11/20/2024 797889 96164 12546682 Group E P SUD $ 35.00 $ 35.00 11/20/2024 797890 96165 12546682 Group E P SUD $ 70.00 $ 70.00 11/21/2024 797674 96164 12546645 Group Non -Residential SUD Tx Facility $ 35.00 $ 8.08 11/21/2024 797675 96165 12546645 Group Non -Residential SUD Tx Facility $ 70.00 $ 1.92 11/21/2024 797960 H0015 12545098 IOP Non -Residential SUD Tx Facility $ 35.00 $ 8.08 11/21/2024 797961 96165 12545098 IOP Non -Residential SUD Tx Facility $ 175.00 $ 6.92 11/25/2024 801068 90832 12546682 SUD Services EP SUD $ 80.00 $ 80.00 11/25/2024 798860 H0015 12545098 IOP Non -Residential SUD Tx Facility $ 35.00 $ 8.08 11/25/2024 798861 96165 12545098 IOP Non -Residential SUD Tx Facility $ 175.00 $ 6.92 11/26/2024 799340 96164 12546362 Group Non -Residential SUD Tx Facility $ 35.00 $ 35.00 11/26/2024 799341 96165 12546362 Group Non -Residential SUD Tx Facility $ 70.00 $ 70.00 11/26/2024 799797 96165 12545098 IOP Non -Residential SUD Tx Facility $ 175.00 $ 6.92 11/26/2024 799796 H0015 12545098 IOP Non -Residential SUD Tx Facility $ 35.00 $ 8.08 11/27/2024 801441 96164 12546682 Group E P SUD $ 35.00 $ 35.00 11/27/2024 801442 96165 12546682 Group E P SUD $ 70.00 $ 70.00 11/27/2024 800212 90832 12546362 SUD Services Non -Residential SUD Tx Facility $ 80.00 $ 80.00 12/2/2024 801212 96164 12539086 Group Non -Residential SUD Tx Facility $ 105.00 $ 25.00 12/3/2024 801735 H 0004 12546682 Discharge E P SUD $ 160.00 $ 160.00 12/3/2024 801310 96164 12546362 Group Non -Residential SUD Tx Facility $ 35.00 $ 35.00 12/3/20241 8013111 96165 12546362 Group Non -Residential SUD Tx Facility $ 70.00 $ 70.00 90832 12538962 SUD Services Non -Residential SUD Tx Facility $ 80.00 $ 80.00 12/5/2024 803248 12/5/2024 803510 96164 12546505 Group Non -Residential SUD Tx Facility $ 105.00 $ 7.75 12/5/2024 803000 H0015 12545098 IOP Non -Residential SUD Tx Facility $ 35.00 $ 8.08 12/5/2024 803001 96165 12545098 IOP Non -Residential SUD Tx Facility $ 175.00 $ 175.00 12/9/2024 804601 96164 12538962 Group Non -Residential SUD Tx Facility $ 35.00 $ 35.00 12/9/2024 804602 96165 12538962 Group Non -Residential SUD Tx Facility $ 87.50 $ 87.50 12/9/2024 804948 90837 12545098 SUD IOP-Individual Non -Residential SUD Tx Facility $ 160.00 $ 160.00 12/9/2024 804109 90837 12532700 SUD Services EP SUD $ 160.00 $ 160.00 12/10/2024 805295 H0015 12547389 IOP Non -Residential SUD Tx Facility $ 192.50 $ 177.50 12/10/2024 804563 96164 12546362 Group Non -Residential SUD Tx Facility $ 35.00 $ 35.00 12/10/2024 804565 96165 12546362 Group Non -Residential SUD Tx Facility $ 70.00 $ 70.00 12/10/2024 805197 H0015 12545098 IOP Non -Residential SUD Tx Facility $ 35.00 $ 8.08 12/10/2024 805198 96165 12545098 IOP Non -Residential SUD Tx Facility $ 175.00 $ 175.00 12/12/2024 806343 96164 12546505 Group Non -Residential SUD Tx Facility $ 105.00 $ 25.55 12/13/2024 806752 H0004 12537393 Discharge Non -Residential SUD Tx Facility $ 120.00 $ 76.30 12/17/2024 807492 96164 12546362 Group Non -Residential SUD Tx Facility $ 35.00 $ 35.00 12/17/2024 807493 96165 12546362 Group Non -Residential SUD Tx Facility $ 70.00 $ 70.00 12/19/2024 809158 96164 12546505 Group Non -Residential SUD Tx Facility $ 105.00 $ 25.55 12/19/2024 809127 H0015 12545098 IOP Non -Residential SUD Tx Facility $ 35.00 $ 8.08 12/23/2024 810246 96164 12538962 Group Non -Residential SUD Tx Facility $ 35.00 $ 35.00 12/23/2024 810247 96165 12538962 Group Non -Residential SUD Tx Facility $ 70.00 $ 70.00 12/23/2024 810289 H0015 12545098 IOP Non -Residential SUD Tx Facility $ 35.00 $ 8.08 12/26/2024 810623 96164 12546505 Group Non -Residential SUD Tx Facility $ 105.00 $ 25.55 12/26/2024 810264 90832 12546362 SUD Services Non -Residential SUD Tx Facility $ 80.00 $ 80.00 1/2/2025 812538 96164 12546505 Group Non -Residential SUD Tx Facility $ 105.00 $ 10.00 1/6/2025 813621 96164 12539086 Group Non -Residential SUD Tx Facility $ 105.00 $ 73.80 1/7/2025 814271 H0015 12546659 IOP Non-ResidentialSUD Tx Facility $ 192.50 $ 10.00 1/8/2025 814874 H0015 12546659 IOP Non -Residential SUD Tx Facility $ 192.50 $ 17.50 1/8/2025 815108 96164 12545899 Group Non -Residential SUD Tx Facility $ 105.00 $ 27.79 1/9/2025 815465 H0015 12546659 IOP Non -Residential SUD Tx Facility $ 192.50 $ 17.50 1/9/2025 815263 96164 12546505 Group Non -Residential SUD Tx Facility $ 105.00 $ 10.00 1/14/2025 817221 H0015 12546659 IOP Non -Residential SUD Tx Facility $ 192.50 $ 17.50 1/15/2025 818113 H0015 12546659 IOP Non -Residential SUD Tx Facility $ 192.50 $ 17.50 1/15/2025 818227 96164 12545899 Group Non -Residential SUD Tx Facility $ 105.00 $ 32.79 1/16/2025 818271 90832 12546659 SUD IOP-Individual Non -Residential SUD Tx Facility $ 80.00 $ _ 50.00 1/16/2025 818537 96164 12546505 Group Non -Residential SUD Tx Facility $ 105.00 $ 10.00 1/21/2025 818969 90832 12546505 SUD Services Non -Residential SUD Tx Facility $ 80.00 $ 10.00 1/22/2025 819673 96164 12545899 Group Non -Residential SUD Tx Facility $ 105.00 $ 32.79 1/22/2025 819541 H0001 12539899 Intake Non -Residential SUD Tx Facility $ 250.00 $ 134.22 1/23/2025 820801 90832 12539086 SUD Services Non -Residential SUD Tx Facility $ 80.00 $ 60.00 1/23/2025 821669 96164 12546505 Group Non -Residential SUD Tx Facility $ 105.00 $ 10.00 1/27/2025 821760 96164 12546659 Group Non -Residential SUD Tx Facility $ 105.00 $ 25.55 1/30/2025 823465 96164 12546505 Group Non -Residential SUD Tx Facility $ 105.00 $ 10.00 1/31/2025 823552 90832 12545899 SUD Services Non -Residential SUD Tx Facility $ 80.00 $ 35.00 2/3/2025 824657 96164 12546659 Group Non -Residential SUD Tx Facility $ 105.00 $ _ 25.55 2/3/2025 824912 96164 12539086 Group Non -Residential SUD Tx Facility $ 105.00 $ 73.80 2/5/2025 825863 96164 12545899 Group Non -Residential SUD Tx Facility $ 105.00 $ 32.79 2/6/2025 826409 96164 12546505 Group Non -Residential SUD Tx Facility $ 105.00 $ 10.00 2/6/2025 827487 H0015 12547801 IOP Non -Residential SUD Tx Facility $ 210.00 $ 140.00 2/10/2025 827724 96164 12546659 Group Non -Residential SUD Tx Facility $ 105.00 $ 25.55 2/10/2025 828398 H0015 12547801 IOP Non -Residential SUD Tx Facility $ 210.00 $ 210.00 2/11/2025 828940 H0015 12547801 IOP Non -Residential SUD Tx Facility $ 210.00 $ 210.00 2/11/2025 828058 90832 12535814 SUD Services Non -Residential SUD Tx Facility $ 80.00 $ 40.00 2/13/2025 829719 H0015 12547801 IOP Non -Residential SUD Tx Facility $ 140.00 $ 140.00 2/14/2025 829559 90832 12545899 SUD Services Non -Residential SUD Tx Facility $ 80.00 $ 35.00 2/18/2025 830602 H0015 12547801 IOP Non -Residential SUD Tx Facility $ 210.00 $ 210.00 2/19/2025 830975 96164 12545899 Group Non -Residential SUD Tx Facility $ 105.00 $ 32.79 2/20/2025 831438 H0004 12539086 Discharge Non -Residential SUD Tx Facility $ 40.00 $ 40.00 2/20/2025 831724 96164 12546505 Group Non -Residential SUD Tx Facility $ 105.00 $ 10.00 2/20/2025 831847 H0015 12547801 IOP Non -Residential SUD Tx Facility $ 140.00 $ 140.00 2/24/2025 832761 H0015 12547801 IOP Non -Residential SUD Tx Facility $ 210.00 $ 210.00 2/25/2025 833671 H0015 12547801 IOP Non -Residential SUD Tx Facility $ 210.00 $ 210.00 2/26/2025 833636 90832 12547801 SUD IOP-Individual Non -Residential SUD Tx Facility $ 80.00 $ 80.00 2/27/2025 834492 96164 12546505 Group Non -Residential SUD Tx Facility $ 105.00 $ 10.00 2/28/2025 834602 90832 12545899 SUD Services Non -Residential SUD Tx Facility $ 80.00 $ 35.00 2/28/2025 834587 H0004 12546505 Discharge Non -Residential SUD Tx Facility $ 80.00 $ 10.00 2/28/2025 834694 90837 12535814 SUD Services Non -Residential SUD Tx Facility $ 160.00 $ 160.00 3/3/2025 835702 96164 12546659 Group Non -Residential SUD Tx Facility $ 105.00 $ 25.55 3/14/2025 840703 90832 12545899 SUD Services Non -Residential SUD Tx Facility $ 80.00 $ 35.00 3/17/2025 841895 96164 12546659 Group Non -Residential SUD Tx Facility $ 105.00 $ 25.55 3/19/2025 842786 96164 12545899 Group Non -Residential SUD Tx Facility $ 105.00 $ 32.79 3/24/2025 844972 96164 12546659 Group Non -Residential SUD Tx Facility $ 105.00 $ 25.55 3/28/2025 846637 90832 12545899 SUD Services Non -Residential SUD Tx Facility $ 80.00 $ 35.00 4/2/2025 848589 90832 12535814 SUD Services Non -Residential SUD Tx Facility $ 80.00 $ 60.00 5/7/2025 862979 96164 12532003 Group Non -Residential SUD Tx Facility $ 105.00 $ 30.00 5/13/2025 864735 H0004 12532003 Discharge Non -Residential SUD Tx Facility $ 200.00 $ 200.00 6/16/2025 878235 90837 12532289 Individual Office/Clinic -Quincy $ 240.00 $ 166.50 6/16/2025 878067 H0001 12548982 Intake Non -Residential SUD Tx Facility $ 250.00 $ 21.26 6/18/2025 879155 H0001 12547363 Intake Non -Residential SUD Tx Facility $ 250.00 $ 220.00 6/20/2025 880587 H0001 12545098 Intake Non -Residential SUD Tx Facility $ 156.25 $ 156.25 6/25/2025 881130 90832 12547363 SUD Services Non -Residential SUD Tx Facility $ 80.00 $ 80.00 6/25/2025 881204 90832 12548982 SUD Services Non -Residential SUD Tx Facility $ 80.00 $ 24.00 6/30/2025 882806 H0015 12547363 IOP Non -Residential SUD Tx Facility $ 210.00 $ 210.00 6/30/2025 882704 H0015 12548982 IOP Non -Residential SUD Tx Facility $ 210.00 $ 210.00 7/1/2025 883512 H0015 12547363 IOP Non -Residential SUD Tx Facility $ 52.50 $ 52.50 7/1/2025 883446 H0015 12548982 IOP Non -Residential SUD Tx Facility $ 210.00 $ 210.00 7/3/2025 884105 H0015 12548982 IOP Non -Residential SUD Tx Facility $ 210.00 $ 210.00 7/7/2025 885536 H0015 12547363 IOP Non -Residential SUD Tx Facility $ 210.00 $ 210.00 7/7/2025 884807 H0015 12548982 IOP Non -Residential SUD Tx Facility $ 192.50 $ 192.50 7/8/2025 885583 90832 12547363 SUD IOP-Individual Non -Residential SUD Tx Facility $ 80.00 $ 80.00 7/8/2025 885880 H0015 12544423 IOP Non -Residential SUD Tx Facility $ 210.00 $ 183.75 7/8/2025 885682 H0015 12548982 IOP Non -Residential SUD Tx Facility $ 210.00 $ 210.00 7/9/2025 886464 H0015 12544423 IOP Non -Residential SUD Tx Facility $ 210.00 $ 210.00 7/10/2025 886967 H0015 12544423 IOP Non -Residential SUD Tx Facility $ 210.00 $ 210.90 7/10/2025 886576 H0015 12548982 IOP Non -Residential SUD Tx Facility $ 210.00 $ 210.00 7/15/2025 888476 H0015 12544423 IOP Non -Residential SUD Tx Facility $ 210.00 $ 210.00 7/21/2025 890321 90832 12547363 SUD Services Non -Residential SUD Tx Facility $ 80.00 $ 80.00 7/24/2025 892094 H0015 12544423 IOP Non -Residential SUD Tx Facility $ 210.00 $ 210.00 8/5/20251 896212 H0015 12544423 IOP Non -Residential SUD Tx Facility $ 210.00 $ 210.00 8/6/2025 896721 H0015 12544423 IOP Non -Residential SUD Tx Facility $ 210.00 $ 210.00 8/7/2025 897069 H0015 12544423 IOP Non -Residential SUD Tx Facility $ 210.00 $ 210.00 8/12/2025 898237 90837 12532289 Individual Office/Clinic -Quincy $ 240.00 $ 1.00 8/12/2025 898607 H0015 12544423 IOP Non -Residential SUD Tx Facility $ 210.00 $ 210.00 8/13/2025 899062 H0015 12544423 IOP Non -Residential SUD Tx Facility $ 210.00 $ 210.00 8/14/2025 899207 H0015 12546302 IOP Non -Residential SUD Tx Facility $ 35.00 $ 24.84 8/14/2025 899393 H0015 12544423 IOP Non -Residential SUD Tx Facility $ 210.00 $ 210.00 8/18/2025 899916 90834 12544423 SUD IOP-Individual Non -Residential SUD Tx Facility $ 120.00 $ 120.00 8/19/2025 900942 H0015 12546302 IOP Non -Residential SUD Tx Facility $ 35.00 $ 33.84 8/19/2025 900943 96165 12546302 IOP Non -Residential SUD Tx Facility $ 175.00 $ 16.16 8/19/2025 900974 H0015 12544423 IOP Non -Residential SUD Tx Facility $ 210.00 $ 210.00 8/20/2025 901389 H0015 12546302 IOP Non -Residential SUD Tx Facility $ 35.00 $ 33.84 8/20/2025 901390 96165 12546302 IOP Non -Residential SUD Tx Facility $ 175.00 $ 16.16 8/20/2025 901420 H0015 12544423 IOP Non -Residential SUD Tx Facility $ 210.00 $ 210.00 8/21/2025 901728 H0015 12546302 IOP Non -Residential SUD Tx Facility $ 35.00 $ 33.84 8/21/2025 901729 96165 12546302 IOP Non -Residential SUD Tx Facility $ 175.00 $ 16.16 8/21/2025 901826 H0015 12544423 IOP Non -Residential SUD Tx Facility $ 140.00 $ 140.00 8/26/2025 903151 90837 12532289 Individual Office/Clinic -Quincy $ 240.00 $ 1.00 8/27/2025 903794 90832 12544991 SUD Services Non -Residential SUD Tx Facility $ 80.00 $ 50.37 9/2/2025 905414 H0015 12546302 IOP Non -Residential SUD Tx Facility $ 35.00 $ 33.84 9/2/2025 905415 96165 12546302 IOP Non -Residential SUD Tx Facility $ 175.00 $ 16.16 9/4/2025 910381 96164 12547073 Group Non -Residential SUD Tx Facility $ 105.00 $ 25.00 9/9/2025 907821 90832 12546302 SUD IOP-Individual Non -Residential SUD Tx Facility $ 80.00 $ 50.00 9/10/2025 908244 90832 12544991 SUD Services Non -Residential SUD Tx Facility $ 80.00 $ 80.00 9/11/2025 909489 96164 12547073 Group Non -Residential SUD Tx Facility $ 105.00 $ 25.00 9/15/2025 910317 96164 12546302 Group Non -Residential SUD Tx Facility $ 35.00 $ 33.84 9/15/2025 910318 96165 12546302 Group Non -Residential SUD Tx Facility $ 70.00 $ 16.16 9/17/2025 911222 90832 12544991 SUD Services Non -Residential SUD Tx Facility $ 80.00 $ 80.00 9/18/2025 912229 96164 12547073 Group Non -Residential SUD Tx Facility $ 105.00 $ 25.00 9/22/2025 912902 96164 12546302 Group Non -Residential SUD Tx Facility $ 35.00 $ 33.84 9/22/2025 912903 96165 12546302 Group Non-ResidentialSUD Tx Facility $ 70.00 $ 16.16 9/24/2025 914077 90832 12544991 SUD Services Non -Residential SUD Tx Facility $ 80.00 $ 80.00 9/25/2025 915213 96164 12547073 Group Non -Residential SUD Tx Facility $ 105.00 $ 25.00 9/26/2025 915248 H0004 12547073 Discharge Non -Residential SUD Tx Facility $ 120.00 $ 25.00 9/29/2025 916061 96164 12544991 Group Non -Residential SUD Tx Facility $ 105.00 $ _ 32.79 9/29/2025 915646 96164 12546302 Group Non -Residential SUD Tx Facility $ 35.00 $ 33.84 9/29/2025 915647 96165 12546302 Group Non -Residential SUD Tx Facility $ 70.00 $ 16.16 9/29/2025 915578 90837 12543953 Individual Office/Clinic - Quincy $ 240.00 $ 13.80 9/30/2025 916054 H0001 12530523 SUD Assessment Non -Residential SUD Tx Facility $ 250.00 $ 200.00 9/30/2025 916552 H 0015 12549177 I 0 P EP SUD $ 192.50 $ 45.00 10/3/2025 917748 90834 12546333 Individual Office/Clinic - Moses Lake $ 180.00 $ 30.00 10/6/2025 918403 96164 12546302 Group Non -Residential SUD Tx Facility $ 35.00 $ 35.00 10/6/2025 918404 96165 12546302 Group Non -Residential SUD Tx Facility $ 70.00 $ 70.00 10/6/2025 918424 H 0015 12549177 I 0 P EP SUD $ 192.50 $ 45.00 10/7/2025 918891 H 0015 12549177 I 0 P EP SUD $ 192.50 $ 45.00 10/8/2025 919523 90832 12544991 SUD Services Non -Residential SUD Tx Facility $ 80.00 $ 80.00 10/9/2025 919940 H 0015 12549177 I 0 P EP SUD $ 192.50 $ 45.00 10/13/2025 920715 96164 12546302 Group Non -Residential SUD Tx Facility $ 35.00 $ 35.00 10/13/2025 920716 96165 12546302 Group Non -Residential SUD Tx Facility $ 70.00 $ 70.00 10/14/2025 921761 90834 12540281 Individual Phone IN Clients Home (10) $ 180.00 $ 175.00 10/14/2025 921059 90837 12546302 SUD Services Non -Residential SUD Tx Facility $ 160.00 $ 160.00 10/14/2025 921171 H 0015 12549177 I 0 P EP SUD $ 192.50 $ 45.00 10/15/2025 921283 H0004 12544991 Discharge Non -Residential SUD Tx Facility $ 120.00 $ 92.83 10/ 16/2025 922322 H 0015 12549177 I 0 P EP SUD $ 192.50 $ 45.00 10/ 17/2025 922802 H 0015 12549177 I O P EP SUD $ 192.50 $ 45.00 10/20/2025 923291 96164 12546302 Group Non -Residential SUD Tx Facility $ 35.00 $ 35.00 10/20/2025 923292 96165 12546302 Group Non -Residential SUD Tx Facility $ 70.00 $ 70.00 10/20/2025 923310 H 0015 12549177 I 0 P EP SUD $ 192.50 $ 45.00 10/21/2025 923816 H 0015 12549177 I 0 P EP SUD $ 192.50 $ 45.00 10/21/2025 925896 90834 12549177 SUD IOP-Individual EP SUD $ 120.00 $ 45.00 10/23/2025 925003 H 0015 12549177 I 0 P EP SUD $ 210.00 $ 45.00 10/24/2025 925221 90832 12546333 Individual Telehealth In Clients Home-ML $ 120.00 $ 30.00 10/27/2025 925480 90832 12543953 Individual Office/Clinic - Quincy $ 120.00 $ 8.25 10/27/2025 925887 H0015 12549177 IOP EP SUD $ 192.50 $ 45.00 10/28/2025 926450 H 0015 12549177 I 0 P EP SUD $ 192.50 $ 45.00 110/30/202519276171 H0015 12549177 IOP JEPSUD $ 210.00 $ 45.00 11/3/2025 929080 96165 12546302 Group Non -Residential SUD Tx Facility $ 70.00 $ 70.00 11/3/2025 929079 96164 12546302 Group Non -Residential SUD Tx Facility $ 35.00 $ 35.00 11/3/2025 928721 H0015 12549177 IOP EP SUD $ 210.00 $ 45.00 11/4/2025 929405 H0015 12549177 IOP EP SUD $ 192.50 $ 45.00 11/6/2025 930801 H0015 12549177 IOP EP SUD $ 192.50 $ 45.00 11/7/2025 933245 90837 12540281 EBP Kids Therapy Office/Clinic -Grand Coulee $ 240.00 $ 80.52 11/10/2025 932086 96164 12546302 Group Non -Residential SUD Tx Facility $ 35.00 $ 35.00 11/10/2025 932087 96165 12546302 Group Non -Residential SUD Tx Facility $ 70.00 $ 70.00 11/10/2025 931765 H0015 12549177 IOP EP SUD $ 192.50 $ 45.00 11/13/2025 932981 H0015 12549177 IOP EP SUD $ 192.50 1 45.00 11/14/2025 933376 90834 12546333 Individual Office/Clinic -Moses Lake $ 180.00 $ 30.00 11/17/2025 934213 96164 12546302 Group Non -Residential SUD Tx Facility $ 35.00 $ 35.00 11/17/2025 934214 96165 12546302 Group Non -Residential SUD Tx Facility $ 70.00 $ 70.00 11/17/2025 934230 90837 12549177 SUD IOP-Individual EP SUD $ 160.00 $ 45.00 11/19/2025 935222 96164 12548118 Group EP SUD $ 105.00 $ 9.83 11/24/2025 936787 96165 12546302 Group Non -Residential SUD Tx Facility $ 70.00 $ 70.00 11/24/2025 936786 96164 12546302 Group Non -Residential SUD Tx Facility $ 35.00 $ 35.00 11/25/2025 937259 99214 12546333 Med Management Telehealth Home $ 225.00 $ 30.00 11/25/2025 937400 90832 12548118 SUD Services Telehealth -Grand Coulee $ 80.00 $ 24.00 11/25/2025 937533 90834 12540281 EBP Kids Therapy Tetehealth Home $ 180.00 $ 122.45 11/26/2025 937979 96164 12548118 Group Telehealth -Grand Coulee $ 105.00 $ 9.83 11/26/2025 938054 H0015 12549256 IOP Non -Residential SUD Tx Facility $ 210.00 $ 17.50 11/26/2025 938412 96164 12549177 Group Non -Residential SUD Tx Facility $ 105.00 $ 32.79 12/1/2025 939073 96164 12546302 Group Non -Residential SUD Tx Facility $ 35.00 $ 35.00 12/1/2025 939074 96165 12546302 Group Non -Residential SUD Tx Facility $ 70.00 $ 70.00 12/3/2025 940089 96164 12548118 Group Telehealth -Grand Coulee $ 105.00 $ 9.83 12/3/2025 940349 H0015 12549256 IOP Non -Residential SUD Tx Facility $ 210.00 $ 17.50 12/4/2025 940883 H0015 12549256 IOP Non -Residential SUD Tx Facility $ 210.00 $ 17.50 12/8/2025 941881 96164 12546302 Group Non -Residential SUD Tx Facility $ 35.00 $ 35.00 12/8/2025 941882 96165 12546302 Group Non -Residential SUD Tx Facility $ 70.00 $ 70.00 12/8/2025 941467 90834 12543953 Individual Office/Clinic -Quincy $ 180.00 $ 13.80 12/9/2025 944060 90834 12540281 EBP Kids Therapy Phone IN Clients Home (10) $ 180.00 $ 122.45 12/9/20251 9426071 H0015 12549256 IOP Non -Residential SUD Tx Facility $ 210.00 $ 17.50 12/10/2025 942909 96164 12548118 Group EP SUD $ 105.00 $ 9.83 12/10/2025 943253 H0015 12549256 IOP Non -Residential SUD Tx Facility $ 210.00 $ 17.50 12/10/2025 943191 90834 12546302 SUD Services Non -Residential SUD Tx Facility $ 120.00 $ 120.00 12/10/2025 942925 96164 12549177 Group EP SUD $ 105.00 $ 32.79 12/11/2025 943634 H0015 12549256 IOP Non -Residential SUD Tx Facility $ 210.00 $ 17.50 12/17/2025 945685 96164 12548118 Group EP SUD $ 105.00 $ 9.83 12/17/2025 945940 H0015 12549256 IOP Non -Residential SUD Tx Facility $ 210.00 $ 17.50 12/17/2025 945701 96164 12549177 Group EP SUD $ 105.00 $ 32.79 12/18/2025 946245 H0004 12548118 Discharge EP SUD $ 160.00 $ 48.00 12/18/2025 946414 H0015 12549256 IOP Non -Residential SUD Tx Facility $ 210.00 $ 17.50 12/19/2025 946585 90832 12546333 Individual Phone IN Clients Home (10) $ 120.00 $ 30.00 12/22/2025 947237 96164 12546302 Group Non -Residential SUD Tx Facility $ 35.00 $ 35.00 12/22/2025 947238 96165 12546302 Group Non -Residential SUD Tx Facility $ 70.00 $ 70.00 12/29/2025 948416 96164 12546302 Group Non -Residential SUD Tx Facility $ 35.00 $ 35.00 12/29/2025 948417 96165 12546302 Group Non -Residential SUD Tx Facility $ 70.00 $ 70.00 12/30/2025 949129 H0015 12549256 IOP Non -Residential SUD Tx Facility $ 210.00 $ 17.50 12/30/2025 948945 90832 12542291 SUD Services Non -Residential SUD Tx Facility $ 80.00 $ 56.59 12/31/2025 949623 96164 12533771 Group Non -Residential SUD Tx Facility $ 105.00 $ 15.00 12/31/2025 949467 90837 12549256 SUD IOP-Individual Non -Residential SUD Tx Facility $ 160.00 $ 50.09 1/5/2026 950950 96164 12546362 Group Non -Residential SUD Tx Facility $ 35.00 $ 35.00 1/5/2026 950951 96165 12546362 Group Non -Residential SUD Tx Facility $ 70.00 $ 70.00 1/5/2026 950984 96164 12549256 Group Non -Residential SUD Tx Facility $ 105.00 $ 15.00 1/5/2026 950354 96165 12546302 Group Non -Residential SUD Tx Facility $ 70.00 $ 70.00 1/5/2026 950353 96164 12546302 Group Non -Residential SUD Tx Facility $ 35.00 $ 35.00 1/5/2026 950949 96164 12542291 Group Non -Residential SUD Tx Facility $ 105.00 $ 28.97 1/7/2026 952699 H0015 12537918 IOP Non -Residential SUD Tx Facility $ 105.00 $ 105.00 1/7/2026 951664 96164 12549177 Group EP SUD $ 105.00 $ 32.79 1/8/2026 952173 99214 12546333 Med Management Telehealth Home $ 225.00 $ 30.00 1/8/2026 952941 96164 12533771 Group Non -Residential SUD Tx Facility $ 105.00 $ 25.00 1/9/2026 953153 90837 12540281 EBP Kids Therapy Office/Clinic -Grand Coulee $ 240.00 $ 240.00 1/12/2026 953983 96164 12549256 Group Non -Residential SUD Tx Facility $ 105.00 $ 15.00 1/12/2026 953470 96164 12546302 Group Non -Residential SUD Tx Facility $ 35.00 $ 35.00 1/12/2026 953471_1 96165 12546302 Group Non -Residential SUD Tx Facility $ 70.00 $ 70.00 1/12/2026 953156 90832 12543953 Individual Office/Clinic -Quincy $ 120.00 $ 55.00 1/14/2026 954761 90832 12549001 SUD Services Non -Residential SUD Tx Facility $ 80.00 $ 6.07 1/14/2026 954581 96164 12549177 Group EP SUD $ 105.00 $ 32.79 1/15/2026 955570 90832 12550477 SUD Services Non -Residential SUD Tx Facility $ 80.00 $ 35.00 1/15/2026 955743 96164 12533771 Group Non -Residential SUD Tx Facility $ 105.00 $ 25.00 1/16/2026 955705 90834 12546362 SUD Services Non -Residential SUD Tx Facility $ 120.00 $ 120.00 1/20/2026 956323 H0001 12547363 SUD Assessment Non -Residential SUD Tx Facility $ 187.50 $ 187.50 1/20/2026 956039 H0004 12546302 Discharge Non -Residential SUD Tx Facility $ 120.00 $ 120.00 1/21/2026 957338 96164 12549177 Group EP SUD $ 105.00 $ 32.79 1/22/2026 958014 96164 12533771 Group Non -Residential SUD Tx Facility $ 105.00 $ 25.00 1/23/2026 959035 90834 12540281 EBP Kids Therapy Phone IN Clients Home (10) $ 180.00 $ 122.45 1/26/2026 958429 90834 12547363 SUD Services Non -Residential SUD Tx Facility $ 120.00 $ 120.00 1/26/2026 959161 96164 12549256 Group Non -Residential SUD Tx Facility $ 105.00 $ 15.00 1/26/2026 958303 90832 12543953 Individual Office/Clinic -Quincy $ 120.00 $ 55.00 1/27/2026 960545 96164 12549001 Group Non -Residential SUD Tx Facility $ 105.00 $ 4.91 1/28/2026 959856 H0004 12533771 Discharge Non -Residential SUD Tx Facility $ 120.00 $ 25.00 1/28/2026 959767 96164 12549177 Group EP SUD $ 105.00 $ 32.79 2/2/2026 961012 90832 12547363 SUD Services Non -Residential SUD Tx Facility $ 80.00 $ 80.00 2/2/2026 961838 96164 12546362 Group Non -Residential SUD Tx Facility $ 35.00 $ 35.00 2/2/2026 961839 96165 12546362 Group Non -Residential SUD Tx Facility $ 70.00 $ 70.00 2/2/2026 963130 96164 12549001 Group Non -Residential SUD Tx Facility $ 105.00 $ 4.91 2/2/2026 963126 96165 12548908 Group Non -Residential SUD Tx Facility $ 70.00 $ 25.00 2/2/2026 961837 96164 12542291 Group Non -Residential SUD Tx Facility $ 105.00 $ 28.97 2/2/2026 961541 96164 12543712 Group Non -Residential SUD Tx Facility $ 35.00 $ 32.79 2/2/2026 961542 96165 12543712 Group Non -Residential SUD Tx Facility $ 87.50 $ 84.60 2/4/2026 962518 96164 12545271 Group EP SUD $ 35.00 $ 35.00 2/4/2026 962519 96165 12545271 Group EP SUD $ 70.00 $ 70.00 2/4/2026 962520 96164 12549177 Group EP SUD $ 105.00 $ 32.79 2/5/2026 963330 H0004 12548908 Discharge Non -Residential SUD Tx Facility $ 80.00 $ 80.00 2/9/2026 964648 96164 12549256 Group Non -Residential SUD Tx Facility $ 105.00 $ 15.00 2/9/2026 964331 96164 12543712 Group Non -Residential SUD Tx Facility $ 105.00 $ 35.00 2/9/2026 964332 96165 12543712 Group Non -Residential SUD Tx Facility $ 70.00 $ 67.68 2/10/2026 966541 90832 12545271 SUD Services EP SUD $ 80.00 $ 80.00 2/11/2026 965584 96164 12545271 Group EP SUD $ 35.00 $ 35.00 2/11/2026 965585 96165 12545271 Group EP SUD $ 70.00 $ 70.00 2/11/2026 965586 96164 12549177 Group EP SUD $ 105.00 $ 32.79 2/12/2026 966211 90832 12546333 Individual Telehealth Home $ 120.00 $ 30.00 2/17/2026 967616 96164 12549001 Group Non -Residential SUD Tx Facility $ 105.00 $ 4.91 2/18/2026 967847 90834 12549001 SUD Services Non -Residential SUD Tx Facility $ 120.00 $ 18.00 2/18/2026 967799 H0004 12545271 Discharge EP SUD $ 160.00 $ 160.00 2/18/2026 967884 96164 12549177 Group EP SUD $ 105.00 $ 32.79 2/19/2026 968371 99214 12546333 Med Management Telehealth Home $ 225.00 $ 30.00 2/20/2026 968903 90832 12542291 SUD Services Non -Residential SUD Tx Facility $ 80.00 $ 80.00 2/23/2026 969419 96164 12543712 Group Non -Residential SUD Tx Facility $ 35.00 $ 28.84 2/23/2026 969420 96165 12543712 Group Non -Residential SUD Tx Facility $ 70.00 $ 67.68 2/24/2026 970901 96164 12549001 Group Non -Residential SUD Tx Facility $ 105.00 $ 4.91 2/26/2026 970991 H0004 12548977 Discharge Non -Residential SUD Tx Facility $ 120.00 $ 47.05 3/2/2026 973282 96164 12546362 Group Non -Residential SUD Tx Facility $ 35.00 $ 35.00 3/2/2026 973283 96165 12546362 Group Non -Residential SUD Tx Facility $ 70.00 $ 70.00 3/2/2026 973422 96164 12549256 Group Non -Residential SUD Tx Facility $ 105.00 $ 15.00 3/2/2026 973281 96164 12542291 Group Non -Residential SUD Tx Facility $ 105.00 $ 28.97 3/2/2026 972635 96164 12543712 Group Non -Residential SUD Tx Facility $ 105.00 $ 13.58 3/3/2026 973733 96164 12549001 Group Non -Residential SUD Tx Facility $ 105.00 $ 4.91 3/3/2026 973694 96164 12549219 Group Non -Residential SUD Tx Facility $ 105.00 $ 10.40 3/4/2026 973937 96164 12549177 Group EP SUD $ 105.00 $ 32.79 3/9/2026 975943 96164 12543712 Group Non -Residential SUD Tx Facility $ 105.00 $ 32.79 3/10/2026 976769 96164 12549001 Group Non -Residential SUD Tx Facility $ 105.00 $ 4.91 3/10/2026 976746 96164 12549219 Group Non -Residential SUD Tx Facility $ 105.00 $ 10.40 3/10/2026 976189 90837 12543712 SUD Services Non -Residential SUD Tx Facility $ 160.00 $ 160.00 3/11/2026 976608 H0001 12546251 SUD Assessment EP SUD $ 312.50 $ 200.00 3/ 11/2026 976947 96164 12549177 Group EP SUD $ 105.00 $ 32.79 3/16/2026 978995 90834 12546362 SUD Services Non -Residential SUD Tx Facility $ 120.00 $ 120.00 3/16/2026 978542 96164 12543712 Group Non -Residential SUD Tx Facility $ 105.00 $ 32.79 3/17/2026 979448 96164 12549001 Group Non -Residential SUD Tx Facility $ 105.00 $ 4.91 3/17/2026 979415 96164 12549219 Group Non -Residential SUD Tx Facility $ 105.00 $ 10.40 3/18/20261 9798341 96164 12549177 Group EP SUD 1 $ 105.00 $ 32.79 ia 3/19/2026 980612 90832 12543953 EBP Kids Therapy Office/Clinic - Quincy $ 120.00 $ _ 55.00 3/19/2026 981898 H0004 12542291 Discharge Non -Residential SUD Tx Facility $ 40.00 $ 40.00 3/20/2026 980927 90832 12549219 SUD Services Non -Residential SUD Tx Facility $ 80.00 $ 11.00 3/23/2026 981457 96164 12543712 Group Non -Residential SUD Tx Facility $ 105.00 $ 32.79 3/24/2026 982321 96164 12546251 Group Non -Residential SUD Tx Facility $ 35.00 $ 35.00 3/24/2026 982322 96165 12546251 Group Non -Residential SUD Tx Facility $ 70.00 $ 70.00 3/24/2026 982328 96164 12549219 Group Non -Residential SUD Tx Facility $ 105.00 $ 10.40 3/26/2026 983394 90834 12546333 Individual Telehealth Home $ 180.00 $ 30.00 3/27/2026 984443 90834 12540281 Individual Phone IN Clients Home (10) $ 180.00 $ 122.45 3/30/2026 984362 96164 12543712 Group Non -Residential SUD Tx Facility $ 105.00 $ 32.79 3/31/2026 985926 96164 12549001 Group Non -Residential SUD Tx Facility $ 105.00 $ 4.91 3/31/2026 985896 96164 12549219 Group Non -Residential SUD Tx Facility $ 105.00 $ 10.40 4/2/2026 986252 99214 12546333 Med Management Telehealth Home $ 225.00 $ 30.00 4/6/2026 987653 96164 12546362 Group Non -Residential SUD Tx Facility $ 35.00 $ 35.00 4/6/2026 987654 96165 12546362 Group Non -Residential SUD Tx Facility $ 70.00 $ 70.00 4/6/2026 987439 H2O15 12531784 Case Management Office/Clinic - Ephrata $ 80.00 $ 80.00 4/7/2026 988566 96164 12549001 Group Non -Residential SUD Tx Facility $ 105.00 $ 4.91 4/7/2026 988550 96164 12549219 Group Non -Residential SUD Tx Facility $ 105.00 $ 10.40 4/ 10/2026 991151 96164 12549177 Group E P SUD $ 105.00 $ 32.79 4/13/2026 990210 H0004 12549219 Discharge Non -Residential SUD Tx Facility $ 80.00 $ 5.86 4/13/2026 990420 96164 12543712 Group Non -Residential SUD Tx Facility $ 105.00 $ 32.79 4/14/2026 993159 90834 12540281 EBP Kids Therapy Phone IN Clients Home (10) $ 180.00 $ 88.08 4/14/2026 991293 96164 12549001 Group Non -Residential SUD Tx Facility $ 105.00 $ 4.91 4/16/2026 991943 90832 12551999 SUD Services Non -Residential SUD Tx Facility $ 80.00 $ 2.63 4/20/2026 992935 90837 12543953 EBP Kids Therapy Office/Clinic - Quincy $ 240.00 $ 92.00 4/20/2026 993598 96164 12543712 Group Non -Residential SUD Tx Facility $ 105.00 $ 32.79 4/21/2026 994095 96164 12551999 Group Non -Residential SUD Tx Facility $ 105.00 $ 4.91 4/21/2026 994077 96164 12549001 Group Non -Residential SUD Tx Facility $ 105.00 $ 4.91 4/21/2026 995102 90832 12552110 SUD Services Non -Residential SUD Tx Facility $ 80.00 $ 20.00 4/23/2026 995029 99214 12546333 Med Management Telehealth Home $ 225.00 $ 30.00 4/27/2026 996342 96164 12543712 Group Non -Residential SUD Tx Facility $ 105.00 $ 32.79 4/28/2026 996866 96164 12549001 Group Non -Residential SUD Tx Facility $ 105.00 $ 4.91 5/4/2026 999316 96164 12546362 Group Non -Residential SUD Tx Facility $ 35.00 $ 35.00 5/4/2026 999317 96165 12546362 Group Non -Residential SUD Tx Facility $ 70.00 $ 70.00 5/4/2026 998864 96164 12543712 Group Non -Residential SUD Tx Facility $ 105.00 $ 32.79 5/5/2026 999734 H0004 12549001 Discharge Non -Residential SUD Tx Facility $ 120.00 $ 13.92 5/7/2026 1000620 H2O15 12546333 Case Management Telehealth Home $ 40.00 $ 40.00 5/11/2026 1001853 H0004 12543712 Discharge Non -Residential SUD Tx Facility $ 120.00 $ 92.83 5/14/2026 1004358 90834 12546362 SUD Services Non -Residential SUD Tx Facility $ 120.00 $ 120.00 5/14/2026 1005424 90832 12540281 EBP Kids Therapy Phone IN Clients Home (10) $ 120.00 $ 18.56 5/18/2026 1004839 90832 12543953 EBP Kids Therapy Office/Clinic - Quincy $ 120.00 $ 55.00 5/21/2026 1007063 90832 12546333 Individual Telehealth Home $ 120.00 $ 30.00 6/1/2026 1012547 96164 12546362 Group Non -Residential SUD Tx Facility $ 35.00 $ 35.00 6/1/2026 1012548 96165 12546362 Group Non -Residential SUD Tx Facility $ 70.00 $ 70.00 6/15/2026 1018396 H2O15 12536050 Case Management Office/Clinic - Ephrata $ 160.00 $ 160.00 6/25/2026 1021308 H0004 12546362 Discharge Non -Residential SUD Tx Facility $ 40.00 $ 40.00 7/6/2026 1023489 H2O15 12548783 Case Management Office/Clinic - Moses Lake $ 80.00 $ 80.00 $ 339657.75