DSHS - RFQ 0635-256 DDDS Consultative Medical Examinations
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RFQ 0635-256 DDDS Consultative Medical Examinations

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 Disability (SSI) benefits and the DSHS Non-Grant Medical Assistance program. The purpose of this Request for Qualifications is to expand the list of qualified, contracted physicians to perform medical consultative examinations for clients who apply for these benefits.
Contact Name

Ladd Wikstrom, Contracts Specialist
Contact Email
 ladd.wikstrom@ssa.gov
Contact Phone
 360.664-7523
Issue Date
 June 15, 2007
Bidder Questions
Due
 N/A
Answers Released
 N/A
Proposal
Due Date
 N/A

Solicitation Documents:

Legal Notice

Request for Qualifications Document- (Updated April 2011)

  • Exhibit A - Application Checklist (Updated April 2011)
  • Exhibit B - Acknowledgement of Professional Qualifications & Confidentiality
  • Exhibit C - Statement of Agreement for Medical Providers
  • Exhibit D - Contractor Intake
  • Exhibit E - Sample Contract (Updated April 2011)
  • Exhibit F - Cardiac Specialty Examination (Updated April 2011)
  • Exhibit G - Neurological Specialty Examination (Updated April 2011)
  • Exhibit H - Orthopedic Specialty Examination (Updated April 2011)
  • Exhibit I - Respiratory Specialty Examination (Updated April 2011)
  • Exhibit J - Rheumatology Specialty Examination (Updated April 2011)
  • Exhibit K - Medical Source Statement
  • Exhibit L - Voucher

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