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<br />Program information P a g e 21 o f 55 <br />Intermediate <br />Result <br />(please choose <br />one from the <br />Results <br />Framework) <br />Residents access basic health care services (primary, behavioral, dental) <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />RESULTS Actual <br />2019-20 <br />Projected <br />2020-21 <br />Projected <br /> 2021-22 <br />Performance <br />Indicators <br /> <br />% and # of program <br />participants who have <br />access to primary care <br /> <br />100% <br />105 out of <br />105 <br /> <br />100% <br />124 out of <br />124 <br />100% or 117 100% or 128 <br />Performance <br />Indicators <br />% and # of program <br />participants who have <br />access to behavioral care <br />100% <br />105 out of <br />105 <br /> <br />100% <br />124 out of <br />124 <br />100% or 117 100% or 128 <br />Performance <br />Indicators <br />% and # of program <br />participants who have <br />access to dental care <br />100% <br />105 out of <br />105 <br /> <br />100% <br />124 out of <br />124 <br />100% or 117 100% or 128 <br />Performance <br />Indicators <br />% and # of program <br />participants who obtain <br />preventative screenings <br />62% or 77 44% or 52 60% or 77 <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br />DocuSign Envelope ID: 11DA72B8-CC83-439E-A25C-F64DE607C614