Pierce County Human Services (PCHS) Aging and Disability Resources (ADR) is seeking applications from eligible, qualified organizations to provide and deliver nutrition support services through the Health-Related Social Needs (HRSN) Program under Washington’s 1115 Medicaid Demonstration waiver. This RFQ is seeking to qualify organizations to provide HRSN services to eligible Medicaid recipients who are not currently receiving in-home long-term care support services (Non-LTSS Clients).Respondents may apply to provide nutrition support services – specifically, Medically Tailored Meals (MTMs) and/or Fruit and Vegetable Provisions – through this RFQ. Respondents interested in providing any combination of these services must qualify for each service. For more information about HRSN nutrition support services, please visit the Washington State Health Care Authority’s website: Nutrition supports | Washington State Health Care Authority. Respondents must serve the entire geographic area of Pierce County.The intended result of this RFQ is for PCHS ADR to offer Respondents that meet qualifications the opportunity to negotiate a contract. A Respondent will not be offered a contract for services for which it is not qualified to deliver.This RFQ is a solicitation for qualifications only. It shall not be construed as a guarantee or a promise that the solicited qualification will result in a contract for services with PCHS.This RFQ is open and continuous. Respondents may apply at any time.

ADR serves as the Area Agency on Aging (AAA) for Pierce County and administers federal and state funds in partnership with local community organizations.Under the terms of Washington State’s Section 1115 Medicaid Demonstration waiver, also called Medicaid Transformation Project (MTP) 2.0, the Centers for Medicare and Medicaid Services (CMS) has approved payment for HRSN services. HRSN services address an individual’s unmet, adverse social conditions that contribute to poor health. These unmet conditions, including food insecurity, can drive health disparities across demographic groups. HRSN services allow qualifying Medicaid recipients to receive evidence-based, non-medical services aimed at supporting individual health outcomes.The HRSN program is funded by and provided in partnership with Washington State Health Care Authority (HCA) and Washington State Department of Social and Health Services’ (DSHS) Home and Community Living Administration (HCLA).There are three pathways to obtain a contract to provide HRSN services through DSHS HCLA, as indicated in the chart below. ADR is accepting applications only from organizations who have already met qualifications and contracted with DSHS HCLA and/or PCHS ADR to provide the following HRSN nutrition support services to eligible Medicaid recipients receiving in-home long-term care support services (LTSS Clients) in Pierce County: Medically Tailored Meals (MTMs) and/or Fruit and Vegetable Provisions. Organizations that meet these qualifications may apply to provide these HRSN nutrition support services to eligible Non-LTSS Clients.Respondents that do not currently hold the required contract are not eligible to apply. Organizations interested in providing HRSN services to LTSS Clients can find out more information here: https://www.dshs.wa.gov/altsa/home-and-community-services/information-potential-medicaid-contractors.