PASRR Quality Assurance Reviewer

The Washington Health Care Authority (HCA) is seeking qualified providers through RFQ 2025HCA13 to deliver a Quality Assurance Clinician for the state's PASRR Screening Program, which evaluates nursing facility applicants and residents in accordance with federal and state regulations, including 42 CFR 483 and the HCA PASRR Program Manual. The contract aims to ensure compliance with federal laws such as Public Law 100-203 and the Omnibus Budget Reconciliation Act of 1987, as well as the Washington Medicaid State Plan. The scope involves reviewing and assessing nursing facility applicants and residents referred by hospital staff, primary care physicians, community nurse consultants, and social workers. The contract period spans from January 1, 2026, through June 30, 2028, with potential extensions, and the estimated contract value ranges between $50,000 and $200,000. The procurement process includes a pre-bid conference scheduled for October 6, 2025, conducted virtually via Microsoft Teams, where prospective bidders can clarify requirements and ask questions. Bidders must submit their responses by November 3, 2025, via email, including completed forms and certifications to demonstrate eligibility, organizational capacity, and compliance with state and federal standards. The RFQ emphasizes the importance of registration in the Washington Electronic Business Solution (WEBS) for communication and updates. The formal contractual arrangements will specify detailed performance expectations, legal obligations, and compliance requirements, ensuring that the selected provider maintains the integrity and quality of the PASRR screening and review process in accordance with applicable regulations and policies.