1325448-event.pdf

18 July 2025

Sobering & Crisis Stabilization Center Operator The Multnomah County HD Behavioral Health Division (BHD) is expanding the behavioral health and substance use disorder (SUD) continuum of care by opening a 24/7 Sobering & Crisis Stabilization Center.

18 July 2025

Released 7/17/2025 5:00 PM PDT Type Request for Proposal (RFP) Open 7/18/2025 8:00 AM PDT Number RFP-8-2026 Close 8/27/2025 4:00 PM PDT Currency US Dollar

Sealed Until 8/27/2025 4:00 PM PDT Payment Terms 0% 0, Net 30

18 July 2025

Contacts Jun Zhu jun.zhu@multco.us

Phone +1 503-988-7603 ext. 87603

18 July 2025

Commodity Codes Commodity Code Description 85121810 Drug & Alcohol Screening Service 85122103 Rehabilitation Services for Substance Abuse 99070202 Case Management 99070206 Crisis Response & Intervention 99070208 Detox, Sobering 99070217 Mental Health Access 99070218 Mental Health Crisis Response 99070219 Mental Health Peer Delivered Services 99070220 Mental Health Services 99070221 Outpatient Services 99070223 Residential Services 99070224 Respite Services

18 July 202518 July 202518 July 202518 July 202518 July 202518 July 202518 July 202518 July 202518 July 2025 mailto:jun.zhu@multco.us

PRE-PROPOSAL CONFERENCE:

There will be an optional virtual Pre-Proposal conference for this Request for Proposal (RFP) as follows: Thursday, August 07, 2025 at 1:30pm Pacific Time

Google Meet joining info: Video call link: meet.google.com/ipt-feuy-icv

Or dial: (US) +1 219-654-2426 PIN: 652 669 522#

Attendance is optional, but strongly encouraged.

IMPORTANT: Suppliers who do not currently have access to the Multco Marketplace Supplier Portal will need to complete the "MMP Supplier Access Request Form". In order to allow the County sufficient time to review your request, the MMP Supplier Access Request form should be completed no fewer than 14 days prior to the Sourcing Event closing date.

INSTRUCTIONS TO PROPOSERS.

Except as noted below, no other uploaded documents will be reviewed or evaluated and do not need to be completed as part of your proposal.

SUBMITTING YOUR PROPOSAL: ITEM(S) TO UPLOAD FOR THIS RFP:

Buyer Attachment A - Evaluation Questions and Criteria - Upload to the Proposal Questions & Evaluation Criteria section’s Question 2.2.1.

Your response must be a PDF document; computer generated or typewritten, single spaced, space-and-a-half or double spaced, formatted for 8.5” x 11” paper. All pages should be numbered. Margins should be at least 1⁄2 inch on all sides. Font size can be no smaller than 10 points. Proposals using smaller font sizes or smaller margins may be rejected.

Do not include any weblinks or other information that is not requested in your proposal submissions.

Any items not requested will not be evaluated.

The Proposer is required to submit a written narrative for each question asked in the Proposal Questions and Evaluation Criteria section of the RFP. For Group 2.1 Programmatic Questions & Responsible Business Practice Questions, submit responses as a complete proposal response and upload as ‘Buyer Attachment A (Company Name)’ to the Proposal Questions & Evaluation Criteria section’s Question 2.2.1.

Proposers must respond to all the questions listed in the Buyer Attachments A - Evaluation Questions and Criteria. The format for each question response should be as follows: the group number, question number and title (example: Group 2.1.1 ORGANIZATIONAL MODEL). You do not need to include the body of the question in your response.

The Buyer Attachment A proposal page limit is ten (10) pages. We recommend that you not use cover sheets or any extra materials as these will count as pages. Excess pages will be removed and will not be evaluated.

Include your firm’s name when saving the file for submission.

If Proposers have formal partnerships such as MOUs, QSOAs or letters of commitment, etc., upload a PDF copy as Appendix 1 to Question 2.2.2 in the Proposal Questions & Evaluation Criteria section of the Sourcing Event. This document is optional and does not count towards the page limits.

Description http://meet.google.com/ipt-feuy-icv https://multco.us/info/mmp-supplier-access-request-form

SERVICE DESCRIPTION, FUNDING AND CONTRACTING INFORMATION

PURPOSE AND OVERVIEW

The Multnomah County Health Department, Behavioral Health Division (BHD) is expanding the behavioral health and substance use disorder (SUD) continuum of care by opening a 24/7 Sobering & Crisis Stabilization Center (Center). The Center, projected to begin operations in 2027, will create a pathway for individuals experiencing active intoxication to be diverted from local jails and emergency departments by offering a low-barrier first responder drop-off alternative that does not leave individuals in crisis on the streets.

The Center’s operator will be responsible for providing services including 24/7 access to crisis stabilization services, voluntary sobering, withdrawal management, and medication assisted treatment (MAT). The Center should also be able to accommodate involuntary sobering holds for less than 24 hours and will serve as the hub for the Multnomah County deflection program, which will be managed by Multnomah County staff. While it is anticipated that both County and contracted staff will occupy the facility, County staff will be responsible for the intake and triage of deflection participants only – the operator will be expected to complete intake and triage for all other individuals.

The Multnomah County Health Department, Behavioral Health Division is seeking to procure services to:

• Operate, with oversight from and in collaboration with Multnomah County, the 24/7 Sobering and Crisis Stabilization Center

• Directly provide Withdrawal Management Services

• Either directly, or through formal partnership with another identified provider, provide Sobering (both voluntary and involuntary)

• Either directly, or through formal partnership with another identified provider, provide Medication Assisted Treatment (MAT)

• Either directly, or through formal partnership with another identified provider, provide transportation services to individuals engaged in services

Operations: The operator will be expected to independently manage the Center’s 24/7 operations, collaborate with County staff administering the deflection program, complete intake and triage of clients seeking services, and coordinate transportation services for clients between off-site partner services and the Center. The facility operator will foster a collaborative approach with the County that functions according to applicable laws and regulations, contractual agreements, and BHD program requirements. Ideally, the operator will be able to provide all services sought through this procurement. However, applicants who can provide at least withdrawal management services on their own, and other services in collaboration with partners, are also encouraged to apply. Depending on the model proposed by the selected applicant, details on the funding structure as it relates to the service model will be resolved at the time of contracting.

Withdrawal Management: The facility operator, at a minimum, should have the capacity to operate on its own a licensed withdrawal management program consistent with the requirements State and County requirements. Details on facility licensure will be determined at the time of contracting.

Sobering and MAT: A successful applicant would also have the ability, either on its own or in partnership with another organization(s) to operate a sobering program that would have both a voluntary and involuntary component, and to offer Medication Assisted Treatment (MAT) services.

Programming in all areas must be in compliance with the statutory requirements for deflection, policies for sobering, and other policies as laid out by the Board of County Commissioners.

INTRODUCTION AND PROGRAM HISTORY

BHD has been tasked by the Board of County Commissioners to open a 24/7 Sobering & Crisis Stabilization Center. BHD is also responsible for operating the County’s deflection program, pursuant to the requirements set forth in HB 4002. The County will procure a permanent facility out of which both the Sobering & Crisis Stabilization Center and deflection programming will run.

As of mid-October 2024, center-based deflection has been available to eligible individuals in a short-term leased facility. In Spring 2025, services were expanded to include voluntary sobering 24/7 at a temporary site.

These existing services, including deflection and voluntary sobering, will be moved to the permanent Sobering & Crisis Stabilization Center in 2027. In addition to moving existing services to the new Center, services will be expanded to include involuntary sobering, withdrawal management, and medication assisted treatment (MAT), all while retaining 24/7 operations.

GOALS, VALUES AND OTHER IMPORTANT CONSIDERATIONS

BHD programs are founded on the following principles:

• Evidence-based: Builds on known best practices. At the same time, encourages engagement and innovation guided by strong program delivery and outcomes (fidelity).

• Collaborative: Ensures cultural responsivity and smooth access and transition across levels of care.

• Culturally Responsive and Culturally Specific service provision: Develops interventions and approaches that recognize and incorporate the practices, values, beliefs and experiences of specific cultures is essential to engagement and retention. Ensures services are provided in a way that is culturally responsive to the varied and intersecting “biological, social and cultural categories such as gender identity, class, ability, sexual orientation, religion, caste, and other axes of identity.” Culturally responsive and culturally specific services eliminate structural barriers and provide a sense of safety and belonging which will lead to better outcomes.

• Strengths-based: Models help individuals to see their possibilities.

• Trauma Informed: Provides care that is considerate of and informed by the trauma histories and lived experiences of our client population. This awareness should impact the provider’s policies and practices, treatment approach, as well as how they recognize and attend to their own staff. Services and supports that are trauma-informed build on the best evidence available and promote psychological and physical safety for clients and staff alike. The Federal Substance Abuse and Mental Health Administration (SAMHSA) has identified six key principles of a trauma-informed approach to behavioral healthcare (https://stacks.cdc.gov/view/cdc/138924).

https://stacks.cdc.gov/view/cdc/138924

• Well-integrated within the broader Recovery Oriented System of Care (ROSC). ROSC provides individualized treatment services, a continuum of care, coordination of services, and peer-delivered services with an emphasis on building recovery capital and developing and strengthening a recovery support system within the community. As such, successful proposals will demonstrate a fully integrated approach to assessment, referral, and treatment addressing individual addictions and recovery challenges, as well as physical health, mental health, and basic needs with the goal of ensuring concurrent referral to and receipt of mental health, physical health, and addictions treatment and recovery support services as necessary. While abstinence is the ultimate goal of any substance abuse treatment system, harm reduction is an important part of addressing the practical realities of an individual’s needs. The incorporation of harm reduction strategies is an important step in expanding the recognized continuum of approaches that support movement toward wellness. Providers of substance abuse services should work collaboratively with other agencies to create a system of comprehensive services that include harm reduction strategies.

• Increases coordination with other systems of care including mental health, primary care, homeless services, criminal justice and domestic violence.

• Harm Reduction: Supports a harm reduction approach rather than strict abstinence, recognizing that recovery is a process. The primary goal is to engage individuals in treatment and recovery support and to continue progressing towards their goals.

TARGET POPULATION SERVED

Substance Use Disorder Target Population

Anticipated populations accessing services at the Center:

• Adults 18+

• Experiencing substance use disorders

• For acutely intoxicated individuals that meet established sobering criteria for either voluntary or involuntary sobering

• Meet criteria for withdrawal management

• Referred by law enforcement and other partners pursuant to current deflection eligibility criteria

FUNDING

BHD has budgeted approximate funding for a to-be-determined amount annually, primarily through state grant funding, for services.

Funding of the work described in this RFP is not guaranteed. Fluctuations in funding from year to year should be expected. The County cannot assure that any particular level of work will be provided and the contract will permit the County to add or remove work as necessary depending on availability of funding. If during the term of any Contract subsequent to this RFP, Contractor delivers less than the anticipated level of service upon which payments were calculated, the County may unilaterally reduce the amount of the remaining payments for that service.

SCOPE OF SERVICES

Operations:

The core services sought through this procurement for Operations includes:

• Operation of the 24/7 Sobering & Crisis Stabilization Center

• Close collaboration with Multnomah County staff and other partners and stakeholders

• Intake and Triage of Center clients

• Transportation Coordination

Requirements for the services above are:

• Center Operation: Manage any professional services or other contracts necessary for running the facility. Staff and train on site staff in compliance with regulatory requirements. Maintain workflows agreed upon with County management.

• Collaboration: Cooperation with County teams and services, as needed, to support facility management, maintenance, programming, and mitigating neighborhood impact. The County’s deflection program will be housed within the Center, requiring the operator to closely work alongside County personnel.

• Patient Triage: Ensure safe and timely assessment of clients mental and physical status, route clients to the appropriate services housed within the Center. If a client arrives at the Center that is not able to safely engage with services, or if a client becomes unable to safely engage with services as determined by established protocols, facilitate the transfer of client to an appropriate level of care.

• Transportation Coordination: Coordination of patient transportation to the Center as well as out of the Center to off-site services. As needed, support rapid transfer of clients who are triaged with a high acuity medical or behavioral health need that the Center is not scoped to provide.

Withdrawal Management Services:

Medically monitored inpatient withdrawal management (ASAM level 3.7) is among the core services sought through this procurement.

Requirements for this service are:

• Staffing and Training: Must meet State of Oregon STANDARDS FOR ALCOHOL DETOXIFICATION CENTERS, OAR 415-050-0100 through 415-050-0195 standard as well as American Society for Addictions Medicine (ASAM) criteria, most updated edition. All staff will be trained and evaluated in current best practices in withdrawal management, care coordination, and case management as applicable/necessary to meeting the outcomes and performance measures.

• ASAM Assessment: Each client will complete an ASAM assessment and be placed in the appropriate level of care.

• Treatment Plan: Based on the assessment, the provider will partner with the client to develop a treatment plan that is client-centered, and builds on client strengths. Length of services will vary depending on individual needs and placement decisions based on use of the ASAM Criteria, as well as clinical and medical necessity.

• Transition Planning: This should start at admission with the focus on transitioning the individual to their next level of care based on their individual need. Care coordination with medical and/or behavioral health services are part of the withdrawal management process.

This should include linkage to client basic needs support (e.g., food, clothing, housing, medical care, physical and mental health, behavioral health treatment and recovery support) through internal agency provision, connection to care coordination teams, case managers, and/or community resources.

Sobering:

Sobering is another core service sought through this procurement. Both voluntary and involuntary sobering would be available. For involuntary sobering, clients would need to be assessed and monitored continuously for changes in their level of acuity. If individuals in involuntary sobering begin demonstrating symptoms of increased behavioral or emotional distress beyond what can be accommodated in a sobering setting, transfer to an appropriate level of care would need to be initiated. Sobering will comprise on-site monitoring of clients with nursing support, the provision of comfort medications, case management, and discharge planning.

Requirements for sobering services are:

• Reception and Intake: Trauma-informed handoff with peer connection accompanied by collection of individual’s basic information and OHP status.

• Standardized Screening: Basic needs assessment, medical screening, mental health and SUD screening. Additional tests related to sobering, including breathalyzer, urinalysis, and pregnancy tests.

• Sobering and Stabilization Services: Must be pursuant to ORS 43.262 and ORS 43.306.

Sobering will be offered per client for a maximum of 24 hours per sobering episode, including observation and medical stabilization with nursing support.

• Discharge Plan: Plan for next steps towards an individual’s treatment and recovery. This could referrals to withdrawal management, medical care, low-barrier shelters with wrap-around support, housing assistance, etc.

Medication Assisted Treatment (MAT):

MAT is another service that will be available at the Center. MAT combines FDA-approved medications with counseling and behavioral therapies to treat opioid use disorder (OUD) and alcohol use disorder (AUD). It aims to reduce cravings, withdrawal symptoms, and the risk of overdose, while supporting long-term recovery and improving overall quality of life.

In the event the proposer cannot provide these services directly, they will be responsible for the establishment and maintenance of a formal partnership with another identified provider that will provide MAT.

The County expects all services procured to align with the “Goals, Values, and Other Considerations” section above.

FISCAL, PROGRAM, AND REPORTING REQUIREMENTS

Basic Regulatory Compliance

Neither the entity, nor any staff to be assigned to the program which is the subject of this request, shall have been disqualified to provide services which are funded by any Federal or State healthcare program. To be eligible to contract with the County an individual or entity must not be listed on the current Cumulative Sanction List of the Office of the Inspector General (U.S. Department of Health and Human Services) or the General Services Administration’s list of parties excluded from federal programs. The County will not contract with any individual or entity found to be on any of these lists.

The County will verify at the time of contracting the entity is not on this list. The entity is responsible for ensuring their staff which is subject to this request is not listed on any of these lists.

The County plans to use the following links to identify individuals and entities that are not eligible to contract with the County: https://exclusions.oig.hhs.gov/ and Oregon Health Authority Suspension Search Database. Each proposer should verify that it is not on any list prior to preparing a proposal to submit in response to this solicitation. Correction of any errors found on any sanction list is the sole responsibility of the proposer and must be made prior to the day the proposal is submitted.

The County requires all potential proposers (individuals or entities) to self-disclose any pending charges or convictions for violation of criminal law and/or any sanction or disciplinary action by any federal or state law enforcement, regulatory or licensing agency or licensing body, including exclusion from Medicare and Medicaid programs.

During the term of the contract between a selected applicant (the contracting entity or individual) and the County, and in accordance with law, if the contracting entity or individual becomes an ineligible person, the contractor shall be removed from any responsibility and/or involvement with County contracted obligations related to any direct or indirect federal or state health care programs and any other federal and state funds. An ineligible person is defined as any individual or entity who is currently excluded, suspended, debarred or otherwise ineligible to participate in the federal healthcare programs; or has been convicted of a criminal offense related to the provision of health care items or services and has not been reinstated into the federal health care programs after a period of exclusion, suspension, debarment, or ineligibility.

The County does not require, and neither encourages or discourages the use of lobbyists or other consultants for the purpose of securing business.

All federal, state and local individual confidentiality requirements must be adhered to by SUD treatment providers. Proposers must have policies, practices, and workforce training in place that are consistent with and in full compliance with confidentiality requirements. This includes ensuring individuals have signed a consent for a 42 CFR, Part 2 https://www.hhs.gov/hipaa/for-professionals/regulatory-initiatives/fact-sheet-42-cfr-part-2-final-rule/index.html compliant release of information to allow for the sharing of individual information for the purpose of multi-disciplinary treatment planning, treatment, medication management, mental health monitoring and management, medical monitoring and management, and transitions to other levels of care or treatment program discharge.

One of the key tenets of providing better care to individuals is a referral system that is efficient and effective. Too many individuals are lost due to a poor referral system. Proposers must show how they will ensure timely access to treatment, including any strategies to quickly engage new referrals and follow up with those individuals who are difficult to engage. Proposers should describe their ability to successfully transition individuals to other ASAM levels of care either within their own organization, or to another program within the provider network. All treatment providers are expected to proactively engage individuals in all aspects of their care from intake and treatment planning, treatment plan review, to discharge and transitions across levels of care or into the community.

https://exclusions.oig.hhs.gov/ https://www.hhs.gov/hipaa/for-professionals/regulatory-initiatives/fact-sheet-42-cfr-part-2-final-rule/index.html https://www.hhs.gov/hipaa/for-professionals/regulatory-initiatives/fact-sheet-42-cfr-part-2-final-rule/index.html

Multnomah County General Fiscal Requirements

As appropriate, Providers will comply with all applicable provisions of the County Financial Assistance Contract (CFAC) between the State of Oregon acting by and through its Department of Human Services and the County. A copy of the most recent CFAC can be obtained at https://www.multco.us/behavioral-health/addiction-provider-resources. Providers, if a non-profit organization and a subrecipient of federal funds passed through the County, must meet the audit requirements of Universal Guidance “Audits of States, Local Governments, and Non-Profit Organization”, which applies the federal Single Audit Act Amendment of 1996, Public Law 104-156.

County shall have the right to withhold from payments due Providers such sums as are necessary in County’s sole opinion to protect County from any loss, damage, or claim, which may result from Provider’s failure to perform in accordance with the terms of the Contract or failure to make proper payment to suppliers or subcontractors. Services will be rendered in a manner that services will be available for the entire contract period.

Fiscal Requirements for Cost-Reimbursement Contracts

Annual Budget for cost reimbursement services: Due no later than 30 days after contract execution. See link under Fiscal Requirements: https://www.multco.us/behavioral-health/addiction-provider-resources

Monthly cost-reimbursement invoice: Payment requests are due the 20th calendar day of the month following the month in which expenses were incurred. See link under fiscal requirements: https://www.multco.us/behavioral-health/addiction-provider-resources.

PERFORMANCE MEASURES/PERFORMANCE CONTRACTING

Measures and Outcomes Tracking System (MOTS): The data collection system for the Health Systems Division (HSD) is the Measures and Outcomes Tracking System (MOTS). In general, behavioral health providers who are either licensed or have a letter of approval from the State, and receive public funds to provide treatment services are required to report to MOTS. In addition to the general rule above, there are four basic ways to classify who is required to submit data to MOTS:

• Providers with State contracts that deliver treatment services (this includes Community Mental Health Programs [CMHP], Local Mental Health Authorities [LMHA] and other types of community behavioral health providers); These programs should all have a license or letter of approval from the HSD or Addictions and Mental Health [AMH];

• Providers that are subcontractors (can be a subcontractor of a CMHP or other entity that holds a contract with the State, such as Multnomah County BHD, a Mental Health Organization [MHO], or a Coordinated Care Organization [CCO]);

• Providers that the State does not contract with but are required to submit data to MOTS by State/Federal statute or rule; These include DUII treatment providers and methadone maintenance providers; and

• Providers that contract with other governmental agencies (e.g., Oregon Youth Authority [OYA] or the Department of Corrections [DOC] to deliver mental health and/or substance abuse services).

Performance Measures: Proposers will demonstrate an ability to meet these goals through gathering and reporting meaningful data.

https://www.multco.us/behavioral-health/addiction-provider-resources https://www.multco.us/behavioral-health/addiction-provider-resources https://www.multco.us/behavioral-health/addiction-provider-resources https://www.multco.us/behavioral-health/addiction-provider-resources

Required of all contracted service areas:

Addictions Unit (AD) Providers Meeting: BHD contractors will attend monthly billing and provider meetings and participate in systems planning and collaboration.

PROGRAM AREA OUTCOMES & OUTPUTS

Any contract with BHD issued to a selected applicant to this RFP will include program outcomes and output. BHD has the ability to change those outcome measures and outputs from year to year based on community needs and funding. Possible output and outcome measures may reflect: rates of service access, rates of successful discharge from services, rates of deflection engagement and completion, rates of transition from sobering to other services available at the center, rates of transportation utilization.

Contract Monitoring / Program Evaluation

Contractors will be expected to cooperate fully with BHD contract monitoring and program evaluation activities. This includes making available data or information that BHD deems necessary for those processes.

Contractor will fully cooperate with Multnomah County Health Department Behavioral Health Division (MCHD-BHD) contract monitoring, quality improvement, and program evaluation activities. This includes making available all data/information held or created by the Contractor required per the scope of work for this contract. This Contract may be monitored through a number of means, including:

1. Technical Assistance: MCHD-BHD staff may offer training and/or assistance to programs regarding design of services, reporting, or ensuring contract compliance.

2. Complete and Timely submission of required reports, as required per scope of work:

MCHD-BHD staff will request revisions if required reporting data is not complete.

3. Evaluations/Program Performance: Program performance may be evaluated through other quality assurance/evaluation processes such as the examples listed below. Contractor may or may not maintain all documents listed below, and is only required to maintain documents as outlined per the scope of work of this contract. MCHD-BHD will work with the contractor to determine what documents are available which may include:

1. Reviews of the number of clients served, services provided to clients and service outcomes;

2. Provider self-assessments;

3. Client satisfaction surveys and complaint resolution processes;

4. Compliance review for contract standards and performance criteria;

5. Compliance reviews for contract reporting requirements, including use of County data collection systems;

6. Referral source satisfaction surveys

7. Desk audits or reviews

8. Policy and protocol reviews

4. Site Reviews: MCHD-BHD staff may schedule site visits to review agency compliance with the contract when regular reports, evaluations and program performance monitoring identifies contract compliance risks. On-site visits are usually scheduled with Contractors, but may be conducted without notice. Site visits may include reviewing agency compliance with contract and quality measures, information storage and record keeping, accounting protocols and client engagement experience as they pertain to the contract itself and any applicable rules or regulations that are passed through to the contractor in the contract.

Fiscal Compliance Reviews: County fiscal compliance reviews may be conducted to ensure that financial records, systems and procedures conform to Generally Accepted Accounting Principles and are in compliance with all County and State audit and accounting requirements.

CONTRACT NEGOTIATION

Once selected in the allocation process, The County will initiate contract negotiations with the Proposer. Multnomah County may, at its option, elect to negotiate general contract terms and conditions, services, pricing, implementation schedules, and such other terms as the County determines are in the County’s best interest. If negotiations fail to result in a contract, the County reserves the right to terminate the negotiations and initiate contract negotiations with another qualified Proposer(s). This process may continue until a contract agreement is reached.

CONTRACT AWARD

This is a formal, competitive Request for Proposal (RFP) process as provided for under the authority of PUR-1. Through this RFP process, the County is seeking to award one contract. Award, as determined by the County, will be made to the responsible Proposer whose Proposal the County determines is most advantageous to the County based on the evaluation process and evaluation factors described in this RFP.

CONTRACT TERM

Fixed term. The contract term shall be five (5) years, with funding added every fiscal year (July 1 - June 30) based on total available funding and service priorities.

The effective date of any resulting contract will be approximately July 1, 2025. The end date will be approximately June 30, 2030.

COMPENSATION AND METHOD OF PAYMENT

The Cost Reimbursement payment method reflects a purchase arrangement in which the County pays the provider for budgeted agreed-upon costs that are actually incurred in the delivery of services specified in the contract, up to a stated maximum obligation.

Unit Rate (also known as Fee for Service) - pricing is based on the delivery of a defined unit of service. The unit of service is defined in the Multnomah Other fee schedule.

Capacity - in rare instance BHD may fund a service based on a flat capacity payment. The primary example of this payment method is for Residential Treatment Capacity, which funds capacity in addition to actual utilization.

INSURANCE REQUIREMENTS

Exhibit 2, located in the Buyer Attachments page of this sourcing event, reflects the minimum insurance required of a Contractor to provide this service. Additional insurance and levels of coverage may be required depending on the funding source. Additionally, Sex Abuse/Molestation coverage may also be required depending on the population being served. Final insurance requirements will be subject to negotiations and mutual agreement between the parties prior to contract execution.

MINIMUM REQUIREMENTS

At the time of proposal submission, Proposers must meet the following minimum requirements.

Failure to provide any of the required documents or meet any of the below requirements shall result in rejection of the proposal.

1. The Proposal response must be received by Multnomah County Purchasing no later than 4:00 P.M. Pacific Standard Time on the proposal submission deadline.

2. Proposer Representations and Certifications

The Proposer must certify that they agree to the Proposers Representation and Certification terms in the Pre-requisite page of the Sourcing Event.

At the time of Contracting, Proposers must meet the following minimum requirements. Failure to provide any of the required documents or meet any of the below requirements may result in cancellation of the contract.

1. Proposers must be legal entities, currently registered to do business in the State of Oregon (per ORS 60.701).

2. Proposers must submit verification that all insurance requirements are met.

3. Proposers must have a completed Pre-Award Risk Assessment if federal funds are used for this Sourcing Event. (See Procedural Instructions in the Buyer Attachments page of this Sourcing Event)

4. Proposer must have a letter of approval from the State of Oregon to provide substance use disorder treatment services by the time of contracting or sooner.

5. Proposer must be registered with an Oregon Medicaid National Provider Identifier (NPI)

*Proposer must meet all additional requirements listed in this sourcing event within the time-frame(s) as determined by BHD.

MULTI-STAGE SOURCING EVENT SUMMARY

Multnomah County may follow a multi-stage sourcing event that incorporates the following potential stages:

1. Written Evaluation Stage

2. Optional Oral Evaluation

Multnomah County reserves the right to alter or add to the anticipated stages and/or make an award at whichever stage that the most advantageous Proposer has been identified through this process.

Required to View Event

Prerequisites Required to Enter Bid

18 July 2025

1. Proposer/Bidder agrees to receive all correspondence electronically and are responsible for keeping their supplier portal updated with current contact information.

2. CONFIDENTIALITY - Please read the statutory requirements in the prerequisite link.

3. Please review the statements in this certification regarding Assurances, Certification Regarding Debarment, Suspension and Other Responsibility Matters and Certification Regarding Conflict of Interest.

4. Please review the "Acknowledgement for "Price File" Language in Questions with Uploads."

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Buyer Attachments

1. How to Complete and Submit a Response to a Sourcing Event - MMP Supplier Guide

2. Procedural Instructions_Proposals 04_02_2024.pdf

3. Buyer Attachment A - Evaluation Questions and Criteria.pdf

4. SAMPLE General Services Agreement.pdf

5. Sample Exhibit 2 - Insurance Requirements.pdf

6. Sample Exhibit 3 - Certification Statement for Corporation or Independent Contractor.pdf

7. Sample Exhibit 4

8. Sample Exhibit 5 - Equal Employment Opportunity Certification Statement

9. Attachment H-1

18 July 202518 July 202518 July 202518 July 202518 July 202518 July 2025 https://multco.us/file/73233/download https://bids01.jaggaer.com/apps/Router/PublicEventDownload?file=U291cmNpbmdldmVudC8xMzI1NDQ4LTE1OTM0NDg5MDRQcm9jZWR1cmFsIEluc3RydWN0aW9uc19Qcm9wb3NhbHMgMDRfMDJfMjAyNC5wZGY%3D&auth=MDpBRVMyI0NQNVp4a2IvSnkxZDNIUm81TGpka2h4M0V4bkpBZDlVSkVFUnk5WnZrK2l5eGZjOVRGNkRHUlU9 https://bids01.jaggaer.com/apps/Router/PublicEventDownload?file=U291cmNpbmdldmVudC8xMzI1NDQ4LTE4NTY0OTMzNzNCdXllciBBdHRhY2htZW50IEEgLSBFdmFsdWF0aW9uIFF1ZXN0aW9ucyBhbmQgQ3JpdGVyaWEucGRm&auth=MDpBRVMyI0NQNVp4a2IvSnkxZDNIUm81TGpka2h4M0V4bkpBZDlVSkVFUnk5WnZrK2l5eGZjOVRGNkRHUlU9 https://bids01.jaggaer.com/apps/Router/PublicEventDownload?file=U291cmNpbmdldmVudC8xMzI1NDQ4LTE0Mzc2MDU5MDdTQU1QTEUgR2VuZXJhbCBTZXJ2aWNlcyBBZ3JlZW1lbnQucGRm&auth=MDpBRVMyI0NQNVp4a2IvSnkxZDNIUm81TGpka2h4M0V4bkpBZDlVSkVFUnk5WnZrK2l5eGZjOVRGNkRHUlU9 https://bids01.jaggaer.com/apps/Router/PublicEventDownload?file=U291cmNpbmdldmVudC8xMzI1NDQ4LTEyODA2Mjk2NjVTYW1wbGUgRXhoaWJpdCAyIC0gSW5zdXJhbmNlIFJlcXVpcmVtZW50cy5wZGY%3D&auth=MDpBRVMyI0NQNVp4a2IvSnkxZDNIUm81TGpka2h4M0V4bkpBZDlVSkVFUnk5WnZrK2l5eGZjOVRGNkRHUlU9 https://bids01.jaggaer.com/apps/Router/PublicEventDownload?file=U291cmNpbmdldmVudC8xMzI1NDQ4LTEyODA2MzAzMTNTYW1wbGUgRXhoaWJpdCAzIC0gQ2VydGlmaWNhdGlvbiBTdGF0ZW1lbnQgZm9yIENvcnBvcmF0aW9uIG9yIEluZGVwZW5kZW50IENvbnRyYWN0b3IucGRm&auth=MDpBRVMyI0NQNVp4a2IvSnkxZDNIUm81TGpka2h4M0V4bkpBZDlVSkVFUnk5WnZrK2l5eGZjOVRGNkRHUlU9 https://bids01.jaggaer.com/apps/Router/PublicEventDownload?file=U291cmNpbmdldmVudC8xMzI1NDQ4LTY2ODI0NTUxMlNhbXBsZSBFeGhpYml0XzRfLV93b3JrZXJzX2NvbXBfZXhlbXB0aW9uX2NlcnRpZmljYXRlXzA4XzIwXzEzLnBkZg%3D%3D&auth=MDpBRVMyI0NQNVp4a2IvSnkxZDNIUm81TGpka2h4M0V4bkpBZDlVSkVFUnk5WnZrK2l5eGZjOVRGNkRHUlU9 https://bids01.jaggaer.com/apps/Router/PublicEventDownload?file=U291cmNpbmdldmVudC8xMzI1NDQ4LTY2ODI0NTUxM1NhbXBsZSBFeGhpYml0XzVfLV9FcXVhbCBPcHBvcnR1bml0eS5wZGY%3D&auth=MDpBRVMyI0NQNVp4a2IvSnkxZDNIUm81TGpka2h4M0V4bkpBZDlVSkVFUnk5WnZrK2l5eGZjOVRGNkRHUlU9 https://bids01.jaggaer.com/apps/Router/PublicEventDownload?file=U291cmNpbmdldmVudC8xMzI1NDQ4LTEwNTExNzk0MjFBdHRhY2htZW50K0gtMStISVBBQStCdXNpbmVzcytBc3NvY2lhdGVzK0FncmVlbWVudC5wZGY%3D&auth=MDpBRVMyI0NQNVp4a2IvSnkxZDNIUm81TGpka2h4M0V4bkpBZDlVSkVFUnk5WnZrK2l5eGZjOVRGNkRHUlU9

Questions Required Questions

Group 1.1: Company Certification Information - This section is not scored Instructions:

1.1.1 State of Incorporation

1.1.2 Date of Incorporation

1.1.3

ASSURANCES - Proposer attests that Proposer is either a non-resident proposer or a resident proposer (as described in Representation and Certification Prerequisite and ORS 279A.120) of the State of _________ and has not discriminated against any minority, women, or emerging small business enterprises certified under ORS 200.055 or a business enterprise that is owned or controlled by or that employs a disabled veteran as defined in ORS 408.225 in obtaining any required subcontracts, in accordance with ORS 279A.110. Enter state of residency here:

1.1.4 Where Proposer is unable to certify to any of the statements in Proposer Representations and Certifications of the Prerequisite, Proposer shall provide an explanation to their offer here.

1.1.5

The Proposer certifies to the best of its knowledge and believes that neither it nor any of its principal participants and agents has or has had the following relationships with the specific firm(s)/individual(s), identified in this sourcing event, which may be determined to be an organizational conflict of interest. I understand that based on the information provided by Proposer, Multnomah County may exclude the Proposer from further consideration and may withdraw its selection if the real or apparent organizational conflict of interest cannot be avoided or mitigated. Proposer further certifies that the degree and extent of the relationship of the Proposer with these named firm(s)/individual(s) will be fully disclosed:

1.1.6 Upload additional explanation as needed

1.1.7 Name of person submitting the Proposal:

1.1.8 Title of person submitting the Proposal:

1.1.9 I represent that I am at least eighteen (18) years of age.

1.1.10 I represent that the printing of my name and the submittal of a Proposal is intended to authenticate this writing and to have the same force and effect as my manual signature.

1.1.11 I represent that I am either authorized to bind the Proposer, or that I am submitting the Proposal on behalf of and at the direction of the Proposer's representative authorized to contractually bind the Proposer.

1.1.12 I represent that the Proposer and/or its applicable representative(s) has reviewed the information contained in this Proposal and that the information submitted is accurate.

Group 1.2: Labor Harmony - This section is not scored Instructions:

1.2.1 The County values agencies that work to prevent labor disputes, which may lead to work stoppages or adversely impact the ability of our programs to achieve intended outcomes. Please indicate if your Agency is committed to avoiding labor disputes that disrupt services by checking the appropriate box.

1.2.2 If your organization has standard practices and policies that uphold this principle, such as a labor harmony agreement or a collective barging agreement, please attach with your submission as a separate file.

Group 2.1: Programmatic Questions & Responsible Business Practice Questions (100% OF OVERALL

SCORE)

Instructions:

2.1.1

2.1.1 ORGANIZATIONAL MODEL: See Buyer Attachment A for complete question and criteria. Please indicate your Proposal page number where Question 2.1.1 begins in the text box provided. (15% of overall score)

2.1.2

2.1.2 SCOPE OF SERVICES: See Buyer Attachment A for complete question and criteria. Please indicate your Proposal page number where Question 2.1.2 begins in the text box provided. (20% of overall score)

2.1.3

2.1.3 INVOLUNTARY SOBERING: See Buyer Attachment A for complete question and criteria. Please indicate your Proposal page number where Question 2.1.3 begins in the text box provided. (20% of overall score)

2.1.4

2.1.4 APPROACH TO NEW FACILITY START-UP: See Buyer Attachment A for complete question and criteria. Please indicate your Proposal page number where Question 2.1.4 begins in the text box provided. (10% of overall score)

2.1.5

2.1.5 COMMUNITY PARTNERSHIPS AND COLLABORATION: See Buyer Attachment A for complete question and criteria. Please indicate your Proposal page number where Question 2.1.5 begins in the text box provided. (10% of overall score)

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2.1.6

2.1.6 TRAUMA INFORMED CARE: See Buyer Attachment A for complete question and criteria. Please indicate your Proposal page number where Question 2.1.6 begins in the text box provided. (5% of overall score)

2.1.7

2.1.7 SERVICE DELIVERY FOR DIVERSE COMMUNITIES: See Buyer Attachment A for complete question and criteria. Please indicate your Proposal page number where Question 2.1.7 begins in the text box provided. (5% of overall score)

2.1.8

2.1.8 PERFORMANCE MEASURES: See Buyer Attachment A for complete question and criteria. Please indicate your Proposal page number where Question 2.1.8 begins in the text box provided. (5% of overall score)

2.1.9

2.1.9 QUALITY ASSURANCE (QA) EVALUATING EFFECTIVENESS: See Buyer Attachment A for complete question and criteria. Please indicate your Proposal page number where Question 2.1.9 begins in the text box provided. (5% of overall score)

2.1.10

2.1.10 ENVIRONMENTAL CONSIDERATIONS: See Buyer Attachment A for complete question and criteria. Please indicate your Proposal page number where Question

2.1.10 begins in the text box provided. (5% of overall score)

Group 2.2: File Upload(s) Instructions:

2.2.1 2.2.1: Please upload your completed Buyer Attachment A here.

2.2.2 2.2.2 - Please upload your optional Appendix 1 here if applicable.

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Product Line Items Product Line Items

There are no Items added to this event.

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Service Line Items Service Line Items

1.

# Item Name, Commodity Code, Description Allow

Alternates Qty. UOM Requested Service Delivery

S1 DO NOT COMPLETE 1

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