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RFQ 1236-423 DDDS Consultative Medical Examinations – OT/SLP/Audiology (AUD)

Notice

Purpose
The Department of Social and Health Services (DSHS), Division of Disability Determination Services (DDDS), administers the Social Security Disability Insurance (SSDI), Supplemental Security Income (SSI), and DSHS Non-Grant Medical Assistance programs. The purpose of this Request for Qualifications (RFQ) is to expand the list of qualified, contracted health professionals to perform diagnostic examinations for clients who apply for these benefits.
Contact Name
Uyen Kashani, Professional Relations Specialist
Contact Email and Address
Uyen.Kashani@ssa.gov
Department of Social and Health Services
Division of Disability Determination Services
P.O. Box 9303
Olympia, WA 98507-9303
Contact Phone
1-800-562-6074, Ext. 47437
Contact Fax
(360) 664-7359
Submissions
If you are interested in becoming a Consultative Examiner, please submit your application packet to the above address or fax number.
Issue Date
November 5, 2013

Documents:

RFQ 1236-423 - Request for Qualification - November 5, 2013

  • Exhibit A - Application Checklist
  • Exhibit B - Acknowledgement of Professional Qualifications & Confidentiality
  • Exhibit C - Statement of Agreement for Medical Providers- Updated July 24, 2014
  • Exhibit D - Contractor Intake Form
  • Exhibit E - Sample Contract – Consultative Medical Examination – OT/SLP/AUD
  • Exhibit F - Developmental Specialty Examination (OT/PT)
  • Exhibit G - Speech-Language Specialty Examination
  • Exhibit H - Audiology Specialty Examination

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