Description
The Washington State Health Care Authority (HCA) is seeking a single, statewide mail‑order vendor to supply a comprehensive catalogue of incontinence and urinary care products—including diapers, catheters, drainage bags, and related skin‑care items—to eligible Apple Health fee‑for‑service Medicaid clients. The contract also requires telephonic nursing assessments, eligibility verification, a 24/7 call‑center with multilingual support, emergency product delivery within 24 hours, rigorous reporting, and compliance with extensive data‑security and privacy standards. The vendor must be a DMEPOS‑enrolled provider, hold a Washington business license, and demonstrate HIPAA‑compatible infrastructure, with the ability to meet high‑volume monthly usage (roughly 16‑20 k clients) and sustain service for an initial term of three years (options for four or five).
• Provide monthly shipments of the full product line, meeting ≥ 95 % accuracy and delivery within three calendar days of shipment.
• Conduct initial and periodic nursing assessments (within 1 BD for new clients, 2 BD for changes) and manage prior‑authorization processes for out‑of‑contract items.
• Operate a HIPAA‑compliant call center (8 am‑5 pm PT M‑F, 24/7 after‑hours) with multilingual, TTY, and Braille accommodations, and submit detailed quarterly performance reports.
• Meet stringent security requirements (FIPS 140‑3 encryption, multi‑factor authentication, incident‑response plan) and achieve a Security Design Review by 30 Sep 2026.