Language
English (US)
Spanish (Latin America)
Medical Respite RFP
This funding opportunity is intended to support the development and expansion of medical respite services across Southwest Washington and aligns with the Health-Related Social Needs (HRSN) Initiative under Medicaid Transformation Project 2.0.
Please verify that you are human
*
Back
Next
Organization Information
Organization Name:
*
Address:
*
Link to Website:
*
Executive Director Name:
*
Executive Director Official Title:
*
Executive Director Email Address:
*
Type a question
*
Eligibility and Readiness
Primary Contact Name:
*
Primary Contact Title:
*
Primary Contact Email Address:
*
Primary Contact Phone Number:
*
Organization Type: (select from list below)
*
Please Select
Licensed Physical Health Provider
Licensed Behavioral Health Provider
Transitional Housing Support Provider
Case Management Organization
Home Health Agency
Other
If selected other, please specify:
Submit
Describe your organization's mission and experience with Medical Respite Care or similar services.
*
Is your organization currently a Medical Respite Care (MRC) provider?
*
If no, describe your plan to become a Medical Respite Care provider, including expected timeline.
Is your organization enrolled or in the process of enrolling in ProviderOne?
*
Please Select
Fully Enrolled
In process of enrollment
Not enrolled
Do you have a signed provider agreement with the Washington State Health Care Authority (HCA)?
*
Please Select
Yes
In Process
No
Do you have, or plan to secure, at least one contract with a Managed Care Organization (MCO) for Medical Respite services?
*
Please Select
Yes, secured
In Process
No
If any eligibility requirements are not yet met, describe your plan to meet them by December 31, 2026.
*
Enter N/A if not relevant.
Should be Empty: