DDDS General Medical and Psychological Consultative Services

Purpose	The Washington State 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 physicians and psychologists to provide medical or psychological consultation services for DSHS/DDDS staff and others who make disability determinations on behalf of the Social Security Administration 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 Economic Services Administration Division of Disability Determination Services P.O. Box 9303 Olympia, WA 98507-9303
Contact Phone and Fax	(360) 584-6630 - Office (833) 656-1248 - Fax
Submissions	If you are interested in providing consultative services, please submit your application packet to the above address or fax number. * As of 9/20/2024, applications are not being accepted.

Documents

RFQ #2435-860 ESA Medical, Psychological, and Psychiatric Consultative Services

Exhibit A – Application Checklist
Exhibit B – Acknowledgment of Professional Qualification and Confidentiality Form
Exhibit C – Statement of Agreement
Exhibit D – Contractor Intake Form
Exhibit E – Applicant Certification and Assurances Form
Exhibit F – Sample Contract – DDDS General Medical and Psychological Consultative Services