WWC Contact Information Updates

 
Please tell us about changes to WWC contacts at your agency. Send an email to Kris.McCracken@state.co.us or Ivy.Hontz@state.co.us when you have completed this survey.
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Agency or Site name
WWC Coordinator
Is this person replacing the current staff member in this WWC role?
eCaST Coordinator
Is this person replacing the current staff member in this WWC role?
Agency Director
Is this person replacing the current staff member in this WWC role?
Contract Administrator
Is this person replacing the current staff member in this WWC role?
Signature Authority
Is this person replacing the current staff member in this WWC role?
Clinical Liaison
Is this person replacing the current staff member in this WWC role?
Fiscal Payment Coordinator
Is this person replacing the current staff member in this WWC role?
Fiscal Manager
Is this person replacing the current staff member in this WWC role?
Case Manager
Is this person replacing the current staff member in this WWC role?
Other WWC staff
Is this person replacing the current staff member in this WWC role?
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