CSD Disability Eligibility Review

Purpose
  The Department of Social and Health Services (DSHS), Community Services Division (CSD), provides multiple programs to support the mission of DSHS. The purpose of this Request for Qualification (RFQ) is to expand the list of qualified physicians, practitioners and psychologists to use their diagnostic and clinical expertise to evaluate a client’s claimed mental or physical impairment by reviewing medical evidence provided by CSD and validate an assessment of whether the client is likely to meet federal SSI disability criteria.
Contact Name
 Rocio Loera, Program Manager
Contact Email and Address
 rocio.loera@dshs.wa.gov
Department of Social and Health Services
Economic Services Administration
Community Services Division
P.O. Box 45470
Olympia, WA 98504-5470
Contact Phone and Fax
 (360) 480-5477 - Office
Submissions
 If you are interested in providing consultative services, please submit your application packet to the above address or fax number.

Documents

RFQ # 1436-522 ESA Medical and Psychological Services
       CSD Disability Eligibility Review - Request for Qualification; Updated 5/24/2024

  • Exhibit A – Application Checklist
  • Exhibit B – Statement of Agreement Form
  • Exhibit C – Contractor Intake Form
  • Exhibit D – Sample Contract – CSD Disability Eligibility Review
  • Exhibit E – Applicant Certification and Assurances Form