Washington State Health Care Authority 9/9/2025

HCA Contract No. K7759-01 Page 4 of 8 2.5 The contractor will participate in a Street Medicine Learning Collaborative with other Street Medicine participants on a frequency as determined by SM program manager. 2.6 The contractor will assemble a SM team comprising the following makeup: 2.6.1 a MD/DO or Physician Assistant (PA) or Nurse Practitioner (NP) , AND 2.6.2 a behavioral health specialist (masters level). 2.6.3 The SM team may include a community health worker (with preferred lived experience) or certified peer counselor (CPC). 2.6.4 SM teams should be comprised, at a minimum, a pair of individuals or a makeup of 3 to 4 people depending on staffing needs. Staffing will be flexible and scalable depending on location. 2.7 The contractor will provide and support regular quarterly (4 sessions per year) trainings for the SM team to cover key SM protocols such as clinical guidelines, infection and infestation prevention, skills to prevent and de-escalate crises, situational awareness and safety precautions in a range of settings, understanding boundaries between street medicine and law enforcement, street medicine 911 protocols, safety precautions for transporting individuals and staff well-being that includes self-care and burnout prevention. 2.8 The contractor will coordinate, collaborate and communicate with community stakeholders as well as law enforcement agencies. 2.9 The contractor will ensure there is close collaboration as well as wraparound health services and referrals between SM teams and: 2.9.1 Primary care providers (including but not limited to Federally Qualified Health Centers, community clinics or other primary care providers) to assist the unhoused population with establishing longitudinal primary care appointments. 2.9.2 Behavioral health providers including but not limited to mental health services, substance use disorder services (such as harm reduction and care services, Health Engagement Hubs, Syringe Services Providers) 2.10 The contractor will ensure SM teams will provide the following scope of services: 2.10.1 Basic medical care, including but not limited to urgent care (addressing acute medical concerns), infectious disease control (HIV screening, HCV screening and treatment, wound and foot care), medication counseling, prescribing, and distribution of medications. 2.10.2 Behavioral health services 2.10.3 Substance use disorder services, including provision of harm reduction supplies as appropriate 2.10.4 Care coordination and case management services, such as: Docusign Envelope ID: BA5A7EFA-772A-4417-9B4B-83C72073A952