Washington State Health Care Authority 9/9/2025

HCA Contract No. K7759-01 Page 3 of 8 ATTACHMENT 1: STATEMENT OF WORK The contractor will provide street medicine services and will staff street medicine (SM) teams as such, and otherwise do all things necessary for, or incidental to, the performance of work as described in this statement of work (SOW). Period of performance July 1st, 2024, and be completed on or before June 30th, 2027 unless terminated sooner or extended. 1. Purpose The purpose of this agreement is to contract with five municipalities – King County, City of Spokane, City of Tacoma, City of Everett and Kitsap County to implement SM teams in support of the unhoused populations. This document outlines performance expectations, reporting requirements and deliverables for this initiative. HCA will incorporate elements of these to submit a legislative report due June 2025 outlining the implementation of the SM program with recommendations for maximizing leveraging of federal Medicaid match and further expansion of the SM model. Funding for SM program is only to be used for expenses incurred related to direct service delivery of SM clients. Allowable uses of funding: i. Staffing for SM teams ii. Capital equipment for SM teams iii. Operating expenses for SM teams for medical and other supplies, lab services, vehicle maintenance, and incidental costs. 2. Performance Expectations The contractor will be responsible for all internal staffing, training, and any technology requirements necessary to implement the expectations outlined in this contract. In addition, the contractor shall ensure funds are responsibly used towards the care core components of SM. 2.1 The main objectives of the Street Medicine program are to reduce health disparities and to improve health outcomes among the unhoused population. 2.2 The contractor will implement a street medicine team that will provide direct care to the unhoused population which includes but is not limited to unhoused people living in encampments, tent cities, living in cars, under bridges and in the woods. 2.3 The contractor will engage and collaborate with community stakeholders to develop the components needed for a successful SM program. The contractor will report the functions of the SM team and report a policy that includes organizational structure of SM teams, standard referral procedures and protocols to ensure continuity of care, liability coverage, data reporting systems, medication dispensing as well as proper safety guidelines for the SM team. 2.4 The contractor will meet with HCA SM program manager on a frequency as determined by the SM program manager. Docusign Envelope ID: BA5A7EFA-772A-4417-9B4B-83C72073A952