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Purpose
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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 providers to perform and provide Specialized Medical consultative 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. |
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Contact Name
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Uyen Kashani, Professional Relations Specialist |
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Contact Email and Address
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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 |
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Contact Phone and Fax
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(360) 584-6630 - Office (833) 656-1248 - Fax |
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Submissions
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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
DDDS Specialized Medical Consultative Services
- Exhibit A – Application Checklist
- Exhibit B – Acknowledgement 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 Specialized Medical Consultative Services