A4_Amendment_Desierto_Psych.pdf
PDF 132 KB Posted
- Attached to
- AZ|CTR070044
- Contract number
- CTR070044
- Issued by
- Arizona
About this file
This is the Fourth Amendment to Contract CTR070044 between the Arizona Department of Economic Security (ADES) and Desierto Psychological PLLC. The ADES, located at 1789 W Jefferson Street in Phoenix, Arizona, is responsible for administering this contract modification, which became effective July 1, 2025.
The contract pertains to Health Assessment services, specifically Consultative Examinations (CE). The amendment updates Exhibit E – Fee Schedule to the Special Projects July 2025 version and revises the mileage reimbursement rate for travel to $0.67 per mile. All other contract requirements, specifications, terms, and conditions remain unchanged. The amendment was executed through electronic approval in the APP system.
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Text version
CONTRACT AMENDMENT
Arizona Department of Economic Security
1789 W Jefferson Street, Mail Drop 1541, Phoenix, AZ 85007
CONTRACT NUMBER: AMENDMENT NUMBER:
CTR070044 Four (4)
DESCRIPTION/ LABEL: Health Assessment – Consultative Examinations (CE)
CONTRACTOR NAME: Desierto Psychological PLLC
THE ABOVE REFERENCED CONTRACT IS HEREBY MODIFIED AS FOLLOWS:
1. In accordance with the Uniform Terms and Conditions, Section 5 Contract Changes, Sub-Section 5.1
Amendments, Exhibit E – Fee Schedule shall be updated and replaced with Exhibit E – Fee Schedule Special
Projects July 2025, Effective July 1, 2025.
a. The rate for mileage reimbursement to travel is revised to $0.67 per mile.
ALL OTHER REQUIREMENTS, SPECIFICATIONS, AND TERMS AND CONDITIONS REMAIN UNCHANGED
ACKNOWLEDGEMENT AND AUTHORIZATION
This Amendment shall be fully executed by means of electronic approval in APP.
File details come from the government source that posted it. Updated .