Any Respondent, who was not disqualified, who has submitted a response and been notified that they were not selected as an ASR may request a debriefing. The request for a debriefing conference must be received by the Procurement Coordinator within 5 days of having been notified that they were not selected.Discussion at the debriefing conference will be limited to the following:Evaluation and scoring of the response.Critique of the requesting Respondent's submission based on the comments made by the Application Evaluation Committee or individual comments made by an evaluator; andReview of Respondent's final score in comparison with other final scores without identifying the other firms.Comparisons between responses or evaluations of the other responses will not be allowed. Debriefing conferences may be conducted in person or remotely and will be scheduled for a maximum of one (1) hour.

Pierce County, in accordance with Title VI of the Civil Rights Act of 1964, 78 Stat. 252, 42 U.S.C. 2000d to 2000d-4 and Title 49, Code of Federal Regulations, Department of Transportation, subtitle A, Office of the Secretary, Part 21, nondiscrimination in federally assisted programs of the Department of Transportation issued pursuant to such Act, hereby notifies all Respondents that it will affirmatively ensure that in any contract entered into pursuant to this advertisement, disadvantaged business enterprises as defined at 49 CFR Part 26 will be afforded full opportunity to submit proposals in response to this invitation and will not be discriminated against on the grounds of race, color, or national origin in consideration for an award.

The County will notify all Respondents of the outcome of their response in writing within 30 business days of acknowledgement of receipt of application.

The County complies with the Americans with Disabilities Act (ADA). Bidders should contact the RFQ Coordinator to request an accommodation.

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.

Welcome to Pierce County's eProcurement System. This system is inclusive to the procurement process, including submission of any questions and/or clarifications, the release of any addenda/notices, and submission of responses. It is strongly encouraged that organizations responding to any procurement first read the entire procurement, paying close attention to the timelines, scope of work, eligibility, submission requirements, and specifically to the questionnaire section, which may include required attachments (when applicable), and ask for any clarifications regarding content and instructions early in the process.

RESPONDENTS WHO REGISTER AND DOWNLOAD RFQ DOCUMENTS will be automatically added to the FOLLOWERS' list in the County's eProcurement Portal. Notifications for solicitation updates, addendum and other procurement information will be sent to all who register on the Pierce County eProcurement Portal.

In the event it becomes necessary to revise any part of this RFQ, addenda will be published in the County's eProcurement Portal.All amendments and notifications of cancellation shall be posted in the County's eProcurement Portal. If you did not receive this solicitation via the County’s eProcurement Portal, please register there to receive further notifications.The County also reserves the right to amend or add to, retract from, or cancel this Procurement at any time, in whole or in part, and without penalty.In the event of a conflict between amendments or between an amendment and this Solicitation Document, the document issued latest in time shall control.

HRSN services are designed to address social and environmental factors to improve health and wellbeing and support clients to remain in their homes and communities. These services also strive to reduce food and nutrition barriers that negatively impact health. HRSN nutrition support services must be provided in accordance with evidence-based nutrition and food safety guidelines, be person-centered, consider dietary preferences, and be culturally appropriate.The HRSN nutrition support services solicited in this RFQ are Medically Tailored Meals and Fruit and Vegetable Provisions.Medically Tailored Meals: Provides an individual with a health condition with nutritious meals tailored to improve their health outcomes.Fruit and Vegetable Provisions: Allows an individual or organization to purchase or provide fruits and vegetables from participating food retailers and farms.Successful Respondents must serve the entire geographic area of Pierce County.

The County will not be liable for any costs incurred by the Respondent in preparation of a response submitted in response to this RFQ, in conduct of a presentation or interview, or any other activities related to responding to this RFQ.

This procedure is available to potential Respondents who are contemplating submitting a response to this RFQ. Only Concern Resolution submissions (Submissions) concerning the following subjects shall be considered:A claim that the solicitation unnecessarily restricts competition.A claim the solicitation evaluation or scoring process is unfair or flawed, orA claim the solicitation requirements are inadequate or insufficient to prepare a response.Respondents submitting a concern about this procurement shall follow the procedures described below. Submissions that do not follow these procedures shall not be considered. If a Respondent registers a concern against this solicitation, the issue(s) cannot be raised again during the protest period.All submissions must be in writing and signed by the submitting party or an authorized Agent. The submission must be sent to the Procurement Coordinator, or designee, and needs to be received no later than NO VALUE, local time, Tacoma, WA, per Section 2.2 Timeline, and must clearly articulate the basis for the submission. The Respondent submitting a concern must also include a proposed remedy.Upon receipt of a submission, a submission review will be held by the County. The RFQ coordinator will respond to submissions in writing and the Finance & Enterprise Services Department Director will be notified of all submissions and provided a copy of the County’s response. A copy of the response to the submission, including any changes to the solicitation, will also be posted in County's eProcurement Portal.The concern resolution process does not include an appeal process.

Organizations should be aware that any records they submit to the County or that are used by the County even if the organization possess the records, may be public records under the Washington Public Records Act (RCW 42.56). The County must promptly disclose public records upon request unless a statute exempts them from disclosure. Organizations should also be aware that if even a portion of a record is exempt from disclosure, generally, the rest of the record must be disclosed. Exemptions are narrow and specific.Organizations should clearly mark any record they believe is exempt from disclosure.

Protests may be made only by Respondents or authorized representative of a Respondent who submitted a response to this solicitation document and who have participated in a debriefing conference. Upon completing the debriefing conference, the Respondent is allowed five (5) business days to file with the Procurement Coordinator a protest of the award decision. Protests must be received by the Procurement Coordinator no later than 3:30 PM, local time in Tacoma, Washington on the fifth business day following the debriefing. Protests must be in writing, addressed to the Procurement Coordinator, and submitted by email to PCPURCHASING@piercecountywa.gov. The protest must state the RFQ number, the grounds for the protest with specific facts and complete statements of the action(s) being protested. A description of the relief or corrective action being requested should also be included.Protests that do not follow these procedures shall not be considered. This protest procedure constitutes the sole administrative remedy available to Respondents under this procurement.Only protests stipulating an issue of fact concerning the following subjects shall be considered:A matter of bias, discrimination, or conflict of interest on the part of an evaluator.Errors in computing the score.Non-compliance with procedures described in the procurement document or County policy.Protests not based on procedural matters will not be considered. Protests will be rejected as without merit if they address issues such as: 1) an evaluator’s professional judgment on the quality of a response, or 2) County’s assessment of its own needs or requirements.Upon receipt of a protest, a protest review will be held by the County. The Finance & Enterprise Services Department Director or an employee delegated by the Director who was not involved in the procurement will consider the record and all available facts and issue a decision within five (5) business days of receipt of the protest. If additional time is required, the protesting party will be notified of the delay. In the event a protest may affect the interest of another Respondent who also submitted a response, such Respondent will be given an opportunity to submit its views and any relevant information on the protest to the Procurement Coordinator. The final determination of the protest shall:Find the protest lacking in merit and uphold the County’s action; orFind only technical or harmless errors in County’s procurement process and determine County to be in substantial compliance and reject the protest; orFind merit in the protest and provide the County options which may include:Correct the errors and re-evaluate all responses, and/orReissue the solicitation document and begin a new process, orMake other findings and determine other courses of action as appropriate.If a protest is filed, the County will wait to execute the contract until a final determination on the protest is made.

The Washington State Interlocal Cooperation Act, Ch. 39.34 RCW, authorizes public agencies to cooperatively purchase goods and services if all parties agree. By responding to this RFQ, Consultants agree that other public agencies may purchase goods and services under this procurement or contract at their own cost and without Pierce County incurring any financial or legal liability for such purchases. Pierce County agrees to allow other public agencies to purchase goods and services under this procurement or contract, provided that Pierce County is not held financially or legally liable for purchases and that any public agency purchasing under such procurement or contract file a copy of this invitation and such contract in accordance with RCW 39.34.040.

Any contract resulting from this RFQ is expected to have an initial term through June 30, 2028, with the option of renewing if funding is extended. Contracts may be renewed, without advertisement or solicitation; renewal is subject to the availability of funding, the continued need for the service(s), and/or satisfactory performance by the Contractor. The actual schedule will be negotiated with the successful Respondent(s) based on the final scope of work, funding, and services purchased, and is subject to appropriation of funds.

The County reserves the right to make an award without further discussion of the response submitted. Therefore, the response should be submitted initially on the most favorable terms which the Respondent can offer. There will be no best and final offer procedure.The ASR should be prepared to accept this RFQ for incorporation into a contract resulting from this RFQ. Contract negotiations may incorporate some or all of the Respondent's submission. It is understood that the response will become a part of the official procurement file on this matter without obligation to the County.

“Apparently Successful Respondent (ASR)” means a Respondent selected as an entity to perform the anticipated services, subject to completion of contract negotiations and execution of a written contract."Applicant," "Bidder," "Proposer" and "Respondent" mean an organization, agency or provider that submits a formal response to this procurement."Application," "Bid," "Proposal" and "Response" mean a formal response to this solicitation. “CFR” means Code of Federal Regulations.“Client,” "Participant," "Household," or "Member" means an individual (or individuals) who receives services, or is eligible to receive services, under this procurement. “Contractor” means an individual or organization whose response has been accepted by the County and has been awarded a fully executed, written contract.“DSHS” or the “Department” means the state of Washington Department of Social and Health Services and its employees and authorized agents.“Food Insecurity” means the USDA definition of low food security, or very low food security.Low food security: reports of reduced quality, variety, or desirability of diet. Little or no indication of reduced food intake.Very low food security: reports of multiple indications of disrupted eating patterns and reduced food intake.“Procurement” means the process by which the County obtains services.“Request for Qualifications (RFQ)” or "Solicitation" means this document and its attachments in which needed goods and/or services are identified and organizations are invited to provide information as to how they are qualified to meet the County's needs. “RCW” means Revised Code of Washington."USDA" means U.S. Department of Agriculture.“WAC” means Washington Administrative Code.

The application in this RFQ is designed to determine whether a Respondent meets the minimum qualifications to provide MTMs and/or Fruit and Vegetable Provisions, under Washington’s 1115 Medicaid Demonstration waiver, referred to in this RFQ as HRSN services.Responses to this RFQ will be reviewed by an evaluation committee comprised of programmatic and fiscal staff. The evaluation committee will review each response to determine whether the Respondent has demonstrated that it meets the minimum qualifications established in this RFQ.The committee may verify information provided by Respondents and may request clarification of submitted materials when necessary. Clarifications will be limited to information already contained in the response and will not provide Respondents an opportunity to materially revise or supplement their qualifications.Respondents that are determined to meet all minimum qualifications will be designated as qualified and offered the opportunity to enter into an agreement for the proposed services. Respondents that do not meet one or more minimum qualifications or fail to submit required information may be determined non-responsive and may not be eligible for qualification. Respondents that are non-responsive and/or fail to meet the minimum qualifications will be provided with a description of the deficiencies. Respondents that address their deficiencies may re-submit their qualifications at any time.

Applications will be reviewed as they are received to determine whether the Respondent has met evaluation criteria. In the event the evaluation committee has clarifying questions for a Respondent, they shall notify the Procurement Coordinator who will, in turn, send the question(s) to the appropriate Respondent. The Procurement Coordinator shall provide a deadline for the answers and shall then notify the evaluation committee members of the response.

This RFQ is intended to remain open and available on a continuous basis to allow interested organizations to submit qualifications at any time. To support ongoing contract administration and system requirements, the solicitation will periodically close and be reissued as an identical opportunity.The current solicitation will close on the date and time listed below. At that same date and time, a new RFQ containing the same scope, requirements, and evaluation criteria will be published and opened for submissions.Respondents that have already submitted qualifications under the current solicitation do not need to resubmit unless they wish to update or revise their qualifications. Respondents seeking to submit qualifications after the closure of the current solicitation should do so under the newly issued RFQ.RFQ Release Date:August 24, 2026Response Submission Deadline:March 1, 2027, 2:00pmAcknowledgement of Receipt:Within 10 business days of submissionNotification of Outcome:Within 30 business days of submissionNotification of Next Steps:Within 90 business days of submission The County reserves the right to revise the above timeline.

Respondents who do not meet these minimum qualifications will be considered non-responsive and their response will not be evaluated. Respondents must:Have successfully completed the Medicaid open enrollment process through Washington State DSHS HCLA and have a current LTSS contract for the HRSN nutrition service(s) for which they are applying.Agree to serve the entire geographic area of Pierce County.

The County reserves the right at its sole discretion to reject any and all responses received without penalty and not to issue a contract as a result of this RFQ.

All responses will be reviewed by the RFQ Coordinator to determine compliance with administrative requirements and instructions specified in this solicitation. The Respondent is specifically notified that the County may reject or withdraw a response at any time as nonresponsive for any of the following reasons:Incomplete response,Failure to comply with any part of this solicitation or any Attachments to this procurement,Submission of incorrect, misleading, or false information.The County also reserves the right, however, at its sole discretion to waive minor administrative irregularities, which are defined as variances which do not provide an applicant an advantage or benefit over other applicants.

A virtual or in-person Procurement Workshop will be conducted by Pierce County staff at the time, date, and location as indicated in the Procurement Schedule section of this RFQ.Pre-submission meeting attendance is not required but is highly encouraged for all organizations considering a response to this solicitation. It is the County’s belief that attending the meeting will assist Respondents in presenting the best possible request for funding. During the Pre-Submission Meeting Workshop, Pierce County staff will give an overview of the procurement, the procurement process, an overview of the requirements, and will also be available to answer questions and provide technical assistance. Please have the instruction/response packet available as well as any questions that the organization may have related to the procurement. The County will be bound only to written answers provided in response to questions. Questions arising during the Procurement Workshop will be documented and answered in the eProcurement Portal.

Respondents may submit questions through the County's eProcurement Portal, under the Question & Answer Section. All questions shall receive a response within ten (10) business days. Respondents must be registered in the eProcurement Portal software to submit questions, receive addendums and notifications, and ultimately submit a response. Respondents may only rely on written statements issued by the County. Any oral communications are unofficial and are not binding on the County.

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.

The response must be received by the time/date as indicated in Section 2.2. If a proposer misses the submission deadline, the proposal may be submitted for consideration during the next review period, which will be posted in the OpenGov portal immediately upon the closure of this solicitation.

The ASR will be expected to enter into a contract which is substantially the same as the Sample Contract and its General Terms and Conditions attached as Exhibit C. In no event is a Respondent to submit its own standard contract terms and conditions in response to this solicitation. If a Respondent has a concern regarding a certain General Term & Condition, they can raise the issue per the Questions and Answers section of this solicitation.

This RFQ does not obligate the County to contract for services specified herein.

The RFQ Coordinator is the sole point of contact in the County for this procurement. All communications between the Respondent and the County upon release of this RFQ shall be with the RFQ Coordinator.Anne Marie EdmundsProcurement & Contract SpecialistEmail: annemarie.edmunds@piercecountywa.govPhone: (253) 798-7456Department:Human ServicesAny other communication will be considered unofficial and non-binding on the County. Respondents are to rely on written statements issued by the RFQ Coordinator. Communication directed to parties other than the RFQ Coordinator may result in disqualification of the Respondent.

Nutrition Support Service AuthorizationPCHS Case Managers are responsible for eligibility screening and authorization of services. Once services are authorized, clients are referred to the network of Contractors through the Community Living Connections (CLC)-GetCare database. The client and authorizing Case Manager shall determine the type of nutrition supports required and approved, and the client will choose which Contractor best meets their needs.Service authorizations will specify the total number of units available to the client. Services may only begin after receipt of a service authorization via CLC-GetCare database specifying the units of service and level of care to be provided for the authorized period.Contractors will receive client demographic information and a nutritional assessment which may be used to supplement their own assessment in the development of a care plan, as available and appropriate.It shall be the Contractor’s responsibility to utilize the CLC-GetCare database prior to each service month to ensure current eligibility and service authorization.It shall be the Contractor’s responsibility to track and report services provided month-to-date and number of authorized units remaining for the authorization period.Medically Tailored Meals (MTM)Staffing RequirementsThe Contractors must employ or contract with one or more of the following licensed health professionals to certify meals and/or complete nutritional assessments:Registered Dietitian (RD);Registered Dietitian Nutritionist (RDN); orPrimary Care Provider (PCP).Nutrition AssessmentIf a nutrition plan is not already available from an RD/RDN/PCP, the Contractor’s RD/RDN/PCP will complete an initial assessment to develop a medically appropriate nutrition plan.Contractors will also complete a reassessment at the time of reauthorization or when a change in the client’s medical condition necessitates a new nutrition plan.Contractors must comply with the steps outlined in the HRSN Medically Tailored Meals Workflow (see Attachment B).MealsThe Contractor shall prepare and provide meals tailored to support clients with health-related conditions and consistent with client’s nutrition plan and as authorized in CLC-GetCare. Clients may receive up to three meals a day for six months with the option to renew for an additional six-month period if the need continues.Each meal must be certified by an RD/RDN to contain sufficient food to support approximately one-third of an individual’s daily nutritional need as indicated by the Dietary Reference Intakes and Dietary Guidelines for Americans, or evidence-based practice guidelines for specific chronic diseases and conditions.Meals may consist of fresh or frozen food. Personal and cultural dietary preferences of clients must be considered, as practical.Meals may also include an accompanying fluid/drink and/or a supplementary food item to support meeting a client’s nutrition needs between meals if medically appropriate. For example, a beverage and snack may be provided to support taking medications that should be taken with food.Service DeliveryMeals may be delivered in one or more of the following ways:Contractor delivers food to the client’s home.Contractor utilizes a commercial delivery service to deliver food to the client’s home.DocumentationContractors will be required to create and maintain records of all clients served in the CLC-GetCare system in accordance with HCLA’s requirements and the requirements of PCHS.The Contractor will be required, at a minimum, to maintain each client name, Provider One number, CLC-GetCare number, and contact information. Documentation must also detail the nutritional assessment, number of meals authorized and provided, start date, end date, delivery dates, and any returned mail if the meal is delivered by mail (an indicator of a client having not received the service).Fruit and Vegetable ProvisionsStaffing RequirementsNone.Nutrition AssessmentNone.Fruits and VegetablesThis service allows clients to receive or purchase a variety of foods that promote better nutrition. The Contractor shall allow clients to choose an assortment of fruits and vegetables, as authorized by PCHS. Client can be authorized to receive this service on a daily, weekly, or monthly basis for up to 6 months with the option to continue for an additional six-month period if the need continues. Fruits and vegetables available for purchase and/or delivery through this service may be fresh, frozen, or canned.Service DeliveryFruit and Vegetable Provisions may be delivered in one or more of the following ways:Contractor delivers food to the client’s home.Contractor utilizes a commercial delivery service to deliver food to the Client’s home.If any food is spoiled, moldy, or otherwise not edible upon delivery, the Contractor shall replace items within 10 calendar days.DocumentationThe Contractor is required, at a minimum, to maintain each Client name, ProviderOne ID, CLC-GetCare number, and contact information. Documentation must include foods provided, delivery date(s), returned mail if food is delivered by mail (an indicator of a client having not received the service), and replacement food sent in the event original food was spoiled, moldy or otherwise not edible.

Follow instructions carefully - if attachments are provided under this solicitation, they are to be utilized as part of the response - do not replace or use the organization's own format, as the response may be deemed "non-responsive" or "not eligible."

Contracts resulting from this procurement will not have a fixed value. Reimbursement for MTM and Fruit and Vegetable Provisions is on a fee-for-service basis. Service rates for MTM and Fruit and Vegetable Provisions will match negotiated LTSS rates for the proposed service.Additional federal, State, or local funds may become available during the contracting cycle and allocated through this solicitation. Funding may only be awarded for the same scope of services as described in this solicitation. It is important to note, any contract awarded as a result of this procurement is contingent upon the availability of funding. If at any time during the term of the contract the funding relied upon for the contract is reduced, modified, or eliminated, or if the funding terms are modified, Pierce County reserves the right to amend the contract as appropriate or to terminate the contract.

PCHS Case Managers will conduct the initial client eligibility screening assessment and will screen for appropriate Medicaid eligibility monthly. Medically Tailored MealsFruit and Vegetable ProvisionsEligible PopulationEnrolled in Apple Health (Medicaid).Not enrolled in or receiving LTSS. Enrolled in Apple Health (Medicaid).Not enrolled in or receiving LTSS. Social Risk FactorsMeets the USDA definition of low food security or very low food security. Meets the USDA definition of low food security or very low food security. Clinical Risk FactorsHas a chronic condition(s) ANDHas been or is being discharged from institutional care, a hospital, or congregate settings, within 6 months, OR at high risk of hospitalization or nursing facility placement.Has a chronic condition(s).

All responses are evaluated on the completeness and quality of the content. Only those Respondents providing complete information as required will be considered for evaluation. The County will not contact the organization for correction of responses and Respondents are strongly encouraged to carefully review their responses for completeness and accuracy before submitting. For responses to be considered responsive and move to the review process, the Respondent must, under Section 3, RFQ Questionnaire:Acknowledge all required “confirmations.”Complete all required attachments, to include uploading any supplemental documents requested in attachments; and Submit the following materials as part of the response: Current DSHS contract through HCLA or Pierce County to provide the service(s) for which the organization is applying. (Question 4.1)

Service rates for MTM and Fruit and Vegetable Provisions will match negotiated LTSS rates for the proposed service.

This section provides a curated list of help articles addressing common questions and challenges Respondents may encounter during the Request for Qualification process. The resources below are intended to offer clear guidance, practical solutions, and relevant information to support a smooth and successful submission. Respondents are encouraged to review these materials as needed to better understand requirements, resolve issues, and navigate the process with confidence.Vendor RegistrationFollowing a ProjectGetting Started with SubscriptionsHow to Submit a Question in OpenGovHow to Submit a Proposal Response in OpenGovHow to Edit or Withdraw a Proposal after Submission in OpenGov

Contractors will be responsible for utilizing the CLC-GetCare database to report service units provided on a monthly basis prior to payment.CLC-GetCare licenses are typically provided at no cost up to a limit of total licenses across all providers in the system; however, DSHS may charge $600 per year per user for CLC-GetCare licenses after the limit has been reached. Respondents should be aware of this potential cost.

Only electronic submittal via the County's eProcurement Portal shall be accepted for this procurement. No hard copies, emails, or fax submittals shall be accepted. The accepted forms of submitted materials are .pdf, png., jpeg., and MS Office formats such as docx. and xlsx.

Applicants must acknowledge and confirm each addendum and notice issued under this solicitation. The system will not allow final submission unless all required confirmations are checked.

Respondents submitting a response to this RFQ must agree that any resulting qualification and contractual agreement will require compliance with the authorities and standards that must be followed for implementation of HRSN services. The full text for each of the authorities and standards include, but are not limited to, the following:Revised Code of Washington – https://apps.leg.wa.gov/rcw/Chapter 26.44.030 RCW – Duty to NotifyChapter 39.26 RCW – Procurement of Goods and ServicesChapter 43.20 RCW – Washington State Board of Health requirementsChapter 43.43.830 through 43.43.845 – Background ChecksChapter 69.06 RCW – Food and Beverage Establishment Workers’ PermitsChapter 74.34 RCW – Abuse of Vulnerable AdultsWashington Administrative Code – https://apps.leg.wa.gov/wac/Chapter 246-215 WAC - Food Service by the Washington State Department of HealthChapter 246-822-132 WAC – Dietitian Application RequirementsChapter 296-24 WAC – General Safety and Health StandardsChapter 296-62 WAC – General Occupational Health StandardsChapter 388-06 WAC – Background ChecksChapter 388-106H WAC – Washington State Health-Related Social Needs (HRSN)Title 42 Code of Federal Regulations - eCFR :: Title 42 of the CFR -- Public Health42 CFR § 455.104 – Disclosure by Medicaid providers and fiscal agents: Information on ownership and control42 CFR § 455.105(b)(c) – Disclosure by providers: Information related to business transactionsSocial Security Act - Social Security Act §1902Section 1902(a)(68) – State Plans for Medical Assistance

All responses and any accompanying documentation become the property of the County and will not be returned.