04/10/2026
For any of our Medicaid residents our families should know how to assist us getting this information to our legislators.
Subject: Urgent Request to Pause HCA Incontinence and Urinary Supplies RFP (2025HCA15)
Dear Washington State Legislators and Health Care Authority Leadership,
We are writing as Adult Family Home providers, community-based care providers, and small businesses serving some of Washington’s most vulnerable residents.
We respectfully urge immediate legislative review and a pause of the Washington State Health Care Authority’s Mail Order Incontinence and Urinary Supplies Request for Proposal (RFP 2025HCA15).
According to HCA’s published solicitation, this procurement is moving forward now, with an estimated implementation date of January 1, 2027. (Washington State Health Care Authority)
This raises serious concerns.
At present, providers remain deeply concerned that the product structure, reimbursement methodology, and long-term operational impact on community-based care settings have not been sufficiently clarified in the legal and policy framework that governs provider reimbursement and service delivery.
Moving forward with a statewide procurement before these issues are fully addressed creates significant risk for:
• Adult Family Homes
• small medical supply businesses
• community providers
• vulnerable Medicaid clients
• continuity of care across Washington State
If small providers and local companies lose a substantial portion of their revenue, many may be forced to reduce services, stop admissions, or close entirely.
This would directly impact the residents and clients who rely on timely access to medically necessary incontinence and urinary supplies.
We ask the Legislature and HCA to:
1. Pause and pull back the current RFP
2. Provide clear legislative and reimbursement guidance
3. Engage providers and stakeholders before implementation
4. Assess the impact on small businesses and care settings
5. Protect continuity of care and client choice
This is not simply a procurement matter.
This is a statewide policy issue affecting access to care, provider stability, and the long-term capacity of Washington’s community care network.
We respectfully ask for immediate action and transparency.
Sincerely,
Concerned Washington Providers and Community Care Partners
HCA procurement contact: HCAProcurements@hca.wa.gov
HCA main line: 1-800-562-3022
