DSHS - DDDS Consultative Examinations OT/SLP/Audiology

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 medical professionals to perform consultative examinations for clients who apply for these benefits.
Contact Name	Uyen Kashani
Contact Email	Uyen.Kashani@ssa.gov
Contact Phone	360.664.7437
Issue Date	August 31, 2007
Bidder Questions Due	n/a
Answers Released	n/a
Proposal Due Date	n/a

Exhibit A - Application Checklist - Revised August 9, 2011
Exhibit B - Acknowledgement of Professional Qualifications & Confidentiality
Exhibit C - Statement of Agreement for Providers
Exhibit D - Contractor Intake
Exhibit E - Sample Contract - Revised January 31, 2011
- Exhibit F - OT Specialty Examination - Revised August 9, 2011
- Exhibit G - Speech & Language Specialty Examination - Revised August 9, 2011
- Exhibit H - Audiology Examination - Revised August 9, 2011
Exhibit I - Voucher

Adobe Acrobat Reader is required to view PDF files. You can download it for free.