2025HCA11 Olympic Heritage Behavioral Health.pdf

REQUEST FOR PROPOSALS (RFP)

RFP NO. 2025HCA11

NOTE: If you download this RFP from any source other than the Washington Electronic Business

Solution (WEBS), you are responsible for registering in WEBS for your organization to receive any

RFP amendments, including Bidder questions/agency answers. HCA is not responsible for any failure of your organization to register in WEBS or any other repercussions that may result to your organization because of this failure.

PROJECT TITLE: OHBH Short Term and Inpatient Treatment Program(s)

PROPOSAL DUE DATE: December 16, by 3 p.m. Pacific Time, Olympia, Washington, USA.

Only Proposals submitted in flash drives via certified mail will be accepted.

ESTIMATED TIME PERIOD FOR CONTRACT: March 2026 through March 2031

The Health Care Authority reserves the right to extend the contract in increments that HCA deems appropriate and is mutually agreed upon.

BIDDER ELIGIBILITY: This solicitation is open to those Bidders that satisfy the minimum qualifications stated herein and that are available for work in Washington State.

HCA RFP No. 2025HCA11 Page 1 of 49

TABLE OF CONTENTS

1. INTRODUCTION

1.1 DEFINITIONS

1.2 ESTIMATED SCHEDULE OF SOLICITATION ACTIVITIES

1.3 PURPOSE AND OBJECTIVES

1.4 BACKGROUND

1.5 SCOPE OF WORK

1.6 MINIMUM QUALIFICATIONS

1.7 FUNDING

1.8 PERIOD OF PERFORMANCE

1.9 ADA

2. GENERAL INFORMATION FOR BIDDERS

2.1 RFP COORDINATOR

2.2 PRE-PROPOSAL CONFERENCE

2.3 FACILITY WALK-THROUGH

2.4 LETTER OF INTENT TO PROPOSE (OPTIONAL)

2.5 INTERESTED SUBCONTRACTOR LIST

2.6 BIDDER QUESTIONS PERIOD

2.7 SUBMISSION OF PROPOSALS

2.8 PROPRIETARY INFORMATION / PUBLIC DISCLOSURE

2.9 REVISIONS TO THE RFP

2.10 COMPLAINT PROCESS

2.11 RESPONSIVENESS

2.12 MOST FAVORABLE TERMS

2.13 RECEIPT OF INSUFFICIENT NUMBER OF PROPOSALS

2.14 NO OBLIGATION TO CONTRACT

2.15 REJECTION OF PROPOSALS

2.16 SUBCONTRACTOR PARTICIPATION MONITORING AND REPORTING

3. PROPOSAL CONTENTS AND REQUIREMENTS

3.1 PROPOSAL CONTENTS OVERVIEW

3.2 PROPOSAL REQUIREMENTS AND GUIDELINES

3.3 BIDDER PROFILE & SUBMITTAL FORM (MANDATORY)

3.4 DIVERSE BUSINESS INCLUSION PLAN (MANDATORY)

3.5 EXECUTIVE ORDER 18-03 (SCORED)

3.6 REFERENCES (MANDATORY)

3.7 DRAFT CONTRACT AND DRAFT SUBLEASE AGREEMENT (MANDATORY)

3.8 WRITTEN PROPOSAL (SCORED)

3.9 COST PROPOSAL (SCORED)

4. EVALUATION AND CONTRACT AWARD

4.1 EVALUATION PROCEDURE

4.2 EVALUATION WEIGHTING AND SCORING

4.3 SUBSTANTIALLY EQUIVALENT SCORES

4.4 NOTIFICATION TO BIDDERS

4.5 DEBRIEFING OF UNSUCCESSFUL BIDDERS

4.6 PROTEST PROCEDURE

HCA RFP No. 2025HCA11 Page 2 of 49

5. RFP EXHIBITS

EXHIBIT A – BIDDER FORMS AND CERTIFICATIONS

EXHIBIT B – DRAFT CONTRACT

EXHIBIT C – DRAFT SUBLEASE AGREEMENT

EXHIBIT D – WRITTEN PROPOSAL

EXHIBIT E – COST PROPOSAL

ATTACHMENT 1 – FLOOR PLANS

ATTACHMENT 2 – DETAILS OF SERVICES INCLUDED IN AND EXCLUDED FROM THE SUBLEASE AND RATE RANGE 47

ATTACHMENT 3 – SOVEREIGN N NATION AGREEMENT

ATTACHMENT 4 – FURNISHINGS PROVIDED BY HCA

HCA RFP No. 2025HCA11 Page 3 of 49

1. INTRODUCTION

1.1 DEFINITIONS

Definitions for the purposes of this RFP include:

Adverse Childhood Experiences (ACES)- Adverse Childhood Experiences are potentially traumatic events that occur in childhood (0-17 years) that can have long-term impacts on health opportunity, and well-being.

Apparent Successful Bidder (ASB) – The Bidder selected as the entity to perform the anticipated services under this RFP, subject to completion of contract negotiations and execution of a written contract.

American Society of Addiction Medicine (ASAM) – A comprehensive set of guidelines for determining placement, continued stay and transfer or discharge of Enrollees with Substance Use Disorder and co-occurring disorder.

Behavioral Health Administrative Services Organization or BH-ASO - means any county authority or group of county authorities or other entity recognized by the state to administer behavioral health services in a defined region.

Bidder – Individual or company interested in the RFP that submits a proposal to attain a contract with the Health Care Authority.

Business Day – Monday through Friday, 8:00 a.m. to 5:00 p.m., Pacific Time, except for holidays observed by the state of Washington, unless otherwise specified within the RFP.

Co-Occurring, Mental Health and Intellectual, Developmental Disability(ies)- means the coexistence of a mental health disorder and an intellectual and/or development disability(ies). Co-occurring treatment provides an integrated program to meet the needs for both mental health conditions and intellectual disability/developmental disabilities.

Co-Occurring, Mental Health and Substance Use Disorder - means the coexistence of both a mental health and a substance use disorder. Co-occurring treatment is a unified treatment approach intended to treat both disorders within the context of a primary treatment relationship or treatment setting.

Core Provider Agreement - means an agreement with the Health Care Authority (HCA) to administer medical assistance and medical care programs for eligible clients. HCA provides medical assistance or medical care to certain eligible clients by enrolling eligible providers of medical services.

HCA reimburses enrolled eligible providers for covered medical services, equipment, and supplies they provide to eligible clients.

Cultural Humility – means the continuous application in professional practice of self-reflection and self-critique, learning from patients, and partnership-building, with an awareness of the limited ability to understand the patient’s worldview, culture(s), and communities.

Culturally Appropriate Care - means health care services provided with Cultural Humility and an understanding of the patient’s culture and community and informed by historical trauma and, often, the resulting cycle of ACEs.

Gravely Disabled – means a condition in which a person, as a result of a behavioral health disorder:

(a) Is in danger of serious physical harm resulting from a failure to provide for his or her essential

HCA RFP No. 2025HCA11 Page 4 of 49 human needs of health or safety; or (b) manifests severe deterioration in routine functioning evidenced by repeated and escalating loss of cognitive or volitional control over his or her actions and is not receiving such care as is essential for his or her health or safety;

Health Care Authority or HCA – An executive agency of the state of Washington that is issuing this

RFP.

“Individual(s)” means Patients admitted to the program under the Involuntary Treatment Act (RCW 71.05.280) for up to 90- or 180- days of inpatient psychiatric treatment, or longer. Under RCW 71.05.280, Individuals being treated may have a mental disorder, be gravely disabled, and/or present a likelihood of serious harm as defined in RCW 71.05.020 respectively).

Peer Bridgers- means a trained Peer Support Specialist who offers Peer Support services to participants in Western State Hospital (WSH), Eastern State Hospital (ESH), and community hospitals with Long Term Community Commitment beds prior to discharge and after their return to their communities. The Peer Bridger must be an employee of a behavioral health agency licensed by the Department of Health that provides recovery services.

Professional Person- means a mental health professional, substance use disorder professional, or designated crisis responder and shall also mean a physician, physician assistant, psychiatric advanced registered nurse practitioner, registered nurse, and such others as may be defined by rules adopted by the secretary pursuant to the provisions of this chapter;

Proposal – A formal offer submitted in response to this solicitation. To be responsive, a Proposal must include all items outlined in Section 3 (PROPOSAL CONTENTS AND REQUIREMENTS). Two such items that may be referred to throughout this document are:

1) Cost Proposal – Bidder’s cost as described in Section 3.9 and Exhibit D.

2) Written Proposal – Bidder’s written response as described in Section 3.8 and Exhibit C.

Residential Treatment Facility - or “RTF” means a facility in which 24-hour, onsite care is provided for the evaluation, stabilization, or treatment of residents for substance use, mental health, or co-occurring disorders.

Request for Proposals (RFP) – Formal solicitation document in which a service or need is identified but no specific method to achieve it has been chosen. The purpose of an RFP is to permit the bidder community to suggest various approaches to meet the need at a given price.

Revised Code of Washington (RCW) – The laws of the state of Washington, as enacted by the Legislature. Any references to specific titles, chapters, or sections of the RCW includes any substitute, successor, or replacement title, chapter, or section. Pertinent RCW chapters can be accessed at: http://apps.leg.wa.gov/rcw/.

Subcontractor – A person, partnership, or entity not in the employment of or owned by the Bidder, who would be performing all or part of the services under this RFP under a separate contract with or on behalf of the Bidder. The term “Subcontractor” means Subcontractors in any tier.

Trauma-Informed Care- Trauma-informed care understands and considers the pervasive nature of trauma and promotes environments of healing and recovery rather than practices and services that may inadvertently re-traumatize.

Washington’s Electronic Business Solution or WEBS – An internet-based bid notification system HCA uses to post competitive solicitations. Individuals and firms interested in state contracting

HCA RFP No. 2025HCA11 Page 5 of 49 opportunities with the Department of Enterprise Services or any state agency should register for competitive solicitation notices on WEBS. Note: There is no cost to register on WEBS.

1.2 ESTIMATED SCHEDULE OF SOLICITATION ACTIVITIES

Issue Request for Proposals October 30, 2025

Pre-Proposal Conference November 10, 2025 – 3 pm

PT

Facility Walk-Through November 17, 2025 - 10:30am -12:30pm;

Tentative

Bidder Questions Due November 24, 2025 - 2pm

PT

HCA Answers Posted* December 2, 2025 -4:00pm

PT

Interested Subcontractor Responses Due December 9, 2025

Interested Subcontractor List Posted* December 12, 2025

Complaints Due (if applicable) December 9, 2025; 5:00pm

PT

Proposals Due December 16, 2025 -3pm

PT

Evaluate Proposals* December 22, 2025, 2025 – January 7, 2026

Conduct Oral Presentations with Finalists (Optional) January 14, 2026 – January 15, 2026

Announce “Apparent Successful Bidder” via WEBS* January 22, 2026

Debrief Request Deadline (3 Business Days after the ASB announcement)

January 27, 2026

Protest Deadline February 6, 2026

Negotiate Contract January 26, 2026 - February 26, 2026

*Dates are anticipated and subject to change without an official amendment.

HCA reserves the right in its sole discretion to revise the above schedule at any time.

1.3 PURPOSE AND OBJECTIVES

HCA is initiating this RFP to solicit Proposals from organizations interested in operating acute behavioral health residential or inpatient services for up to forty (40) adult beds at the Olympic Heritage Behavioral Health facility in Tukwila, Washington. This RFP does not include outpatient services.

The purpose of this project is to:

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1. Provide short-term residential behavioral health services for individuals referred to the program, including those who may have received previous treatment or services through crisis stabilization or a 23-hour crisis facility system; and/or

2. Inpatient treatment for Individuals with substance use disorder and/or co-occurring substance use and mental health disorders.

This RFP is soliciting for either a single service or multiple services, and a single provider (ASB) in the available space at the Olympic Heritage Behavioral Health facility, as described in this RFP.

HCA intends to award one (1) contract for services described in this RFP.

1.4 BACKGROUND

In its 2024 and 2025 session, the Legislature appropriated funding to HCA to contract with a provider(s) to deliver behavioral health services, up to forty (40) beds, at the Olympic Heritage Behavioral Health (OHBH) facility, under ESSB 5167, Sect 214(60), 2025. The OHBH facility— located in Tukwila, Washington—is a former psychiatric hospital that the Department of Social and Health Services (DSHS) acquired in 2023 to serve people in State psychiatric care. DSHS currently operates OHBH as a Residential Treatment Facility (RTF).

A. Olympic Heritage Behavioral Health Facility

OHBH is a licensed RTF that serves people in need of medically managed residential treatment services. OHBH is currently configured to support 112 beds. Seventy- two (72) beds are operated by DSHS, and up to forty (40) beds will be contracted by HCA.

OHBH is named in recognition of the nearby Olympic National Park, a serene and flourishing environment with thousands of diverse species. OHBH sits within King County, the most populous county in Washington state. Opening this facility helps to fulfill the State’s commitment to provide space and care for people awaiting behavioral health treatment.

The OHBH campus has multiple buildings with a single kitchen and dining area. The ASB will need to contract directly with DSHS for food services. There is also shared building entry access, so all Providers must coordinate times for the different programs to access the building. There are no onsite laundry services.

For this project, the ASB will occupy 15,618 square feet and operate two (2) units that will accommodate up to forty (40) beds. The two units are located on separate floors with a current floor plan of up to ten (10) bedrooms on each floor. Each bedroom includes one bathroom, and two beds to serve two Individuals. Unit design includes a common room, treatment rooms and a nursing station.

B. Provider Interest Survey

HCA developed a provider interest survey to assist in selecting services to procure. The survey sought information from providers, including Tribal Governments, interested in offering behavioral health services at OHBH.

Survey results were shared with appropriate legislative committees, and the Office of Financial Management (OFM). HCA, after consultation with DSHS and other key stakeholders, developed a recommendation on which services to procure. HCA submitted their recommendation to OFM for program approval. OFM approved this request on July 1, 2024. A summary of the results from the Provider Interest Survey can be found here.

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Through this RFP, HCA is soliciting bidders to provide the following (one or both) behavioral health program modalities:

a) Program Modality 1: Short-term residential behavioral health services for Individuals referred to the program, including those who may have received previous treatment or services through crisis stabilization or a 23-hour crisis facility system;

i) Mental Health (MH) services provided in a residential setting,; and/or

ii) Freestanding Evaluation and Treatment (E&T) services

(1) E&T services are considered acute ambulatory treatment services provided in a structured setting for Individuals whose MH disorder is not responsive to lower-level interventions such as crisis services, outpatient services, crisis stabilization, and residential services.

(2) May include providing co-occurring services for mental health and intellectual and /or developmental disability(ies) and offer an integrated mental health and intellectual disability/developmental program.

b) Program Modality 2: Inpatient treatment for Individuals with SUD or co-occurring substance use and mental health disorders using the American Society of Addiction Medicine (ASAM) Criteria 3rd edition, including:

i) ASAM 3.1 Clinically Managed Low-Intensity Residential Services

ii) ASAM 3.3 Clinically Managed, Population Specific, High Intensity, Residential Services

iii) ASAM 3.5 Clinically Managed High Intensity Residential; and/or

iv) ASAM 3.7 Medically Managed Residential (Withdrawal Management).

(1) Note: ASB shall utilize ASAM Criteria 4th edition when issued. HCA anticipates ASAM Criteria 4th edition will take effect in January 2028.

(a) American Society of Addiction Medicine (ASAM) | Washington State Health Care

Authority

(b) ASAM Criteria Adoption Readiness FAQ

These modalities are further described in Section 1.5, Scope of Work, Subsection B below.

Bidders may submit a proposal for one or both program modalities and must identify which program or programs and how many beds under the various options. HCA may award one (1) contract for the program modalities offered at OHBH, covering up to the forty (40) beds.

The target date for the start of program services is July 1, 2026.

1.5 SCOPE OF WORK

Bidders may submit a proposal for one or both program modalities. Bidders must identify which Program Modality(ies), as well as the number of beds, in their Proposal.

The ASB will provide a treatment program for one or both Program Modalities, as detailed in Section B, Program Modalities Options, for up to forty (40) beds. Program services will be for adults ages 18 and older and ASB will provide Culturally Appropriate and Trauma Informed Care. Services will be provided with Cultural Humility and with an understanding of the Individual’s culture and community and informed by historical trauma and the resulting cycle of Adverse Childhood Experiences (ACEs).

ASB must have organizational ability to support initiation and continuation of medication for opioid use disorder and alcohol use disorders as part of their program model and design.

The ASB must have an organizational infrastructure related to compliance, oversight of documentation integrity, maintenance of medical records or program clinical records, i.e., Electronic Health Records (EHR), database system or other methods. This should include security protocols, agency policies and procedures, and training plans. The ASB will adhere to WAC 246-341 for applicable residential or inpatient services.

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The ASB will inform HCA whether their program model serves Individuals on a voluntary or involuntary basis. If the ASB is proposing to provide involuntary treatment for involuntary behavioral health residential and inpatient services, ASB must comply with the Involuntary Treatment Act (ITA) (RCW 71.05), which also includes petitioning for further detention as necessary and providing notifications. This will involve record review, an interview with the Individual, direct observation, preparation and filing of a petition with the court, and court testimony in support of the petition.

Petitioners must be licensed Professional Persons as defined in Section 1.1 Definitions, as per RCW 71.05.

For any contract(s) that may be awarded to a Tribal government, the HCA may negotiate an Sovereign Nation Agreement that includes the scope of work attached to this RFP, as found in Attachment 3.

A. Sublease and Cost Sharing

DSHS owns the OHBH facility, and the ASB must agree to work in partnership with HCA and DSHS as necessary to provide program services at OHBH and coordinate shared space. The ASB will be required to enter into a sublease agreement with HCA to operate program(s) within OHBH facility, to include the cost of shared services e.g. building maintenance, janitorial, security and food services, as found in Exhibit C, Sample Sublease Agreement. Details of services included and excluded from the sublease rate are found in Attachment 2 of the Sublease Agreement. Successful Bidder will be responsible for providing medication storage and dispensing.

HCA will provide furniture for each unit of OHBH in which the ASB will operate as described in Attachment 4 of the Sublease Agreement. ASB will provide additional furniture needed to be fully operational. ASB may negotiate with HCA for additional furniture items.

B. Program Modalities Options

The first option is for short-term residential behavioral health services for Individuals referred to the program, including those who may have received previous treatment or services through crisis stabilization or a 23-hour crisis facility system.

i) Modality 1: Short-term Residential Program

Allowable services under this option include:

(1) Freestanding Evaluation and Treatment services(E&T)

E&T may provide voluntary treatment, or involuntary treatment for persons detained under the ITA. The level of care varies depending on the acuity of the current symptoms, risk, and individual needs.

Services are considered acute ambulatory treatment services provided in a structured setting for Individuals whose mental health disorder is not responsive to lower-level interventions such as crisis services, outpatient services, crisis stabilization, and residential services. Treatment typically includes a combination of group and Individual treatment, peer services, coupled with psychiatric evaluation and when indicated medication management in a highly structured setting.

May include providing co-occurring services for mental health and intellectual and /or developmental disability(ies) and offer an integrated mental health and intellectual disability/developmental program.

Involuntary services require proactive collaboration with King County Superior Court to conduct hearings and provide access to defense attorneys.

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(2) Mental Health Services Provided in a Residential Setting

These services are a specialized form of rehabilitation service (non-hospital/) that offers a sub-acute psychiatric management environment. Individuals receiving this service present with severe impairment in psychosocial functioning or have apparent mental illness symptoms with an unclear etiology due to their mental illness. Treatment for these Individuals cannot be safely provided in a less restrictive environment but the Individual does not meet hospital admission criteria.

For this service, the mental health care provider is located on-site for a minimum of eight

(8) hours per day, seven (7) days a week. Therapeutic interventions include both an -individual and group format, peer services, and may include medication management and monitoring, stabilization, and cognitive and behavioral interventions designed with the intent to stabilize the Individual and return them to more independent and less restrictive treatment

This service offers short-term residential behavioral health services, where the average stay is up to sixty (60) days.

Admission and Continued Stay. The ASB will understand and preferably have experience with the level of care tools (e.g., LOCUS, InterQual) for utilization management, prior authorizations and continued stay reviews.

ii) Modality 2: Substance Use and/or Co-Occurring Behavioral Health Disorders Program, Clinically or Medically Managed

(1) Substance Use Disorder Residential treatment provided in alignment with the 3rd edition of the ASAM Criteria and Chapter 246-341 Washington Administrative Code (WAC). All utilize ASAM Criteria 3rd Edition and level of care for authorizations and continued stay reviews:

(a) ASAM 3.1 Clinically Managed Low-Intensity Residential

(i) At least 5 hours of clinical services per week

(ii) 24-hour structure care and support

(iii) Must meet medical necessity per ASAM criteria

(iv) Recovery Support Services

(b) ASAM 3.3 Clinically Managed, Population Specific, High Intensity, Residential Services

(i) At least 20 hours of clinical services a week, available seven (7) days a week

(ii) 24-hour supervision

(iii) Medical director oversight

(iv) Available physicians and advanced practice providers to review admission decisions

(v) Physical exam within 72 hours of admission

(vi) Clinical services, direct psychosocial services and high intensity therapeutic milieu

(vii) Recovery support services

(c) ASAM 3.5 Clinically Managed High Intensity Residential

ASAM service requirements for this level of care include:

(i) At least 20 hours of clinical services a week, available seven (7) days a week

(ii) 24-hour supervision

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(iii) Medical director oversight

(iv) Available physicians and advanced practice providers to review admission decisions

(v) Physical exam within 72 hours of admission

(vi) Clinical services, direct psychosocial services and high intensity therapeutic milieu

(vii) Recovery support services

(d) ASAM 3.7 Medically Managed Residential

ASAM service requirements for this level of care include:

(i) More than 20 hours of clinical service per week

(ii) 24-hour supervision

(iii) Medical director oversight

(iv) Physicians and advanced practice providers on-site or via telehealth 24/7

(v) 24/7 Nursing

(vi) Physical exam with 24 hours of admission

(vii) Nursing assessment at admission

Clinical services include:

1. Direct withdrawal management and biomedical services

2. Management of common psychiatric disorders

3. Psychosocial services

4. Recovery support services

(2) Co-occurring Residential Treatment includes services certified by the Washington State Department of Health (DOH) that combine mental health services and substance use disorder (SUD) services under a single RTF license. Co-occurring treatment as an integrated treatment approach intended to treat both mental health and substance use disorders within the context of a primary treatment relationship or treatment setting.

For a co-occurring treatment model, integrated interventions can include a wide range of techniques. Examples include but are not limited to:

(a) Integrated screening and assessment processes.

(b) Dual recovery mutual-support group meetings.

(c) Dual recovery groups (in which recovery skills for both disorders are discussed).

(d) Motivational enhancement interventions (individual or group) that address both mental and substance use problems.

(e) Group interventions for people with the triple diagnosis of mental disorder, SUD, and another problem, such as a chronic medical condition (e.g., HIV), trauma, homelessness, or criminality.

(f) Combined psychopharmacological interventions, in which a person receives medication designed to reduce addiction to or cravings for substances as well as medication for a mental disorder. Integrated interventions can be part of a single program or can be used in multiple program settings.

(g) Peer Services.

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For Co-Occurring services, either program level is allowable, as it relates to the ASAM Criteria 3rd Edition.

C. Admissions

Psychiatric, nursing and/or behavioral health professional staff will evaluate the Individual’s behavioral health history and current symptom presentation to determine whether the program can meet the Individual’s needs. Individuals typically present with risk factors due to a behavioral health disorder as defined in RCW 71.05.020 and must meet the legal and program requirements for admission.

All Individuals will be given a formal health assessment upon admission. Depending on the service modality, the assessment will be provided within twenty-four (24) hours or seventy-two

(72) hours of admission and be conducted by personnel licensed to provide such an assessment (e.g., physician, Advanced Practice Nurse Practitioner [ARNP], or a Physician’s Assistant [PA]).

The health assessment will include a review of health and medical history, current medications, allergies, substance use history, review of health issues affecting the safety for admission, and other needed information. Assessments for pain, nutritional, and the need for dental treatment will also be completed.

Individuals must meet program requirements for admission criteria, which may include medical clearance, and diagnostic testing, as determined by the ASB to be eligible for admission. These criteria include review of vital signs, basic neurological screening, substance use history, medication use, etc. The admission screening is completed by personnel licensed to provide such an assessment (e.g., physician, ARNP, or PA) and is designed to be repeated as necessary.

All proposed models must ensure access to medically necessary medication for opioid use disorder (MOUD) continuation and initiation services, either as a provider or via immediate referral. When applicable the ASB must follow WAC 182-502-0016.

D. Treatment Services All program modalities must be provided with an emphasis on promoting wellness and recovery and be tiered to the appropriate level of services based on risk factors. A medical clearance protocol to encourage collaborative effort between emergency departments and inpatient behavioral health facilities is required for the chosen programs offered at OHBH.

(1) Some Individuals may experience:

(a) Thought and mood disorders that interfere with recovery can lead to unsafe behavior.

(b) Impaired cognitive functioning to the degree that they are unable to make safe choices and are putting their life, health, and safety at risk (also known as Gravely Disabled.

(2) Some Individuals may require:

(a) Emergency medications, seclusion and/or restraint for limited periods during their treatment to ensure the safety of themselves or others.

(b) Compelled medications to prevent prolonged involuntary treatment.

(3) Treatment Services provided should include, but are not limited to:

(a) Assessment and psychiatric evaluation, including:

i. Documentation of the medical necessity for the admission.

ii. Completion of history and physical.

iii. Completion of a psychosocial evaluation.

iv. Formulation of a diagnosis and identification of problems to be addressed during the stay.

v. Assessment of the need for referral to other treatment, e.g., substance use disorder treatment or medical treatment.

vi. Consideration of the need for psychiatric medication.

vii. Psychiatric medication management and medication monitoring.

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viii. Individual and group or family therapies including trauma-informed treatment, cognitive behavioral approaches, experiential and psychoeducation groups, and process and skill building groups.

ix. Peer support services.

x. A therapeutic milieu.

xi. Monitoring, cueing, and skill building for social skills and activities of daily living.

xii. Recreational and social activities.

xiii. Meal and snack services.

The Bidder’s treatment team members are encouraged to maintain contact with each Individual regularly to observe and evaluate the Individual, make recommendations about the continued commitment status and consider adjustments to the Individual’s care plan.

Common medical issues should be addressed by the in-house or contracted medical staff.

Medical and dental issues requiring more than routine care will be referred to physicians and dentists who have agreed to provide such services in the community. A transfer agreement will be established and executed with local hospitals to facilitate access to needed emergency treatment. Bidder’s facility staff will accompany Individuals to outside appointments to ensure connection to services, coordination of care, and safe conditions when appropriate to do so. A successful Bidder will have a vehicle for transportation for Individual’s appointments outside of the OHBH facility.

Bidders should establish procedures and protocol for transportation for Individuals being served to include transportation for:

A. Emergency treatment B. Outside appointments to include court hearings, medical appointments, etc.; and C. Discharge arrangements

The Bidder’s treatment program will operate utilizing a recovery-oriented model that seeks to instill hope, fosters self-determination and self-responsibility, builds on strengths, is holistic, supports the Individual’s connection to family, friends, and informal supports, recognizes recovery as a non-linear process, and includes the use of peer support services.

Treatment activities may include:

(1) Formal Therapeutic Interventions

(a) Assessments and exams

(b) Treatment

(c) Individual therapy

(d) Group therapy

(e) Medication management

(f) Consultation/collateral contact

(g) Discharge planning

(h) Peer support

(i) Access to recovery groups

(j) Access to religious and/or spiritual services and representatives

(2) Visits

(a) Family/support person visits

(b) Approved visitors

(3) Recreational

(a) Sedentary leisure, such as board games, books, art, and audio/video

(b) Active leisure, such as games, exercise

(c) Exercise, including space for large body movement

(d) Decompression/quiet time

(e) “Fresh Air Breaks,” regularly scheduled time to allow access to the fenced outside area of the unit for fresh air and exposure to outside elements and natural lighting

(f) Free time

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(4) Activities of Daily Living

(a) Meals/Snacks: meals will be served three (3) times daily in the dining area/lounge, snacks will be served in the day room

(b) Grooming: within the grooming station or individual bathrooms/bedrooms

(c) Medications can be dispensed through nursing station

(d) Individual’s laundry: under staff supervision, or Individuals will do their own

(e) Sleep and changing clothing: Individuals’ bedrooms

(5) Culturally and Linguistically Appropriate Services (CLAS) Bidders must demonstrate experience in providing CLAS as outlined in the national CLAS standards, which:

(a) Ensures the cultural and linguistic needs of Individuals will be met, including strategies to meet the needs of:

(b) Non-English-speaking populations that require the services of a translator;

(c) American Indian and Alaska Native (AI/AN) populations, including an understanding of the Indian Health Service, tribal governments, and urban Indian health programs;

(d) Cultural, ethnic, and racial minority populations,

(e) Lesbian, gay, bi-sexual, transgender, and questioning (LGBTQ+) Individuals; and

(f) Deaf and hard of hearing Individuals who require an American Sign Language interpretation.

E. Treatment Services for Medication for Opioid Use Disorder (MOUD) All SUD treatment modalities must include MOUD treatment initiation, continuation of MOUD treatment, and coordination of care to obtain MOUD treatment as options for Individuals.

Treatment Services for MOUD includes the following:

(a) MOUD Initiation refers to the beginning of treatment with Medications for Opioid Use Disorder (MOUD). It specifically means starting a medication to help manage opioid withdrawal symptoms and cravings, allowing Individuals to work towards recovery from opioid use disorder (OUD). This can involve medications like buprenorphine, methadone, or naltrexone, and may include counseling and support services as part of a comprehensive treatment plan.

(b) Continuity of Care is the consistent and coordinated delivery of care to an Individual over time, by a consistent healthcare team or provider. It ensures Individuals receive ongoing, comprehensive care, from initial consultation to aftercare, especially for those with chronic conditions. It also involves effective communication and collaboration among different healthcare professionals and systems.

(c) Continuation of Care for the ongoing provision of medical services and support to a Individuals over time. It ensures that the Individual receives consistent and coordinated care throughout their treatment journey, regardless of changes in healthcare providers, settings, or health conditions.

F. Discharge Bidders are encouraged to include a post-treatment follow-up mechanism to evaluate outcomes and to promote linkage for outpatient or other levels of care for discharge planning. It is expected that each Individual discharging from this facility will receive a comprehensive discharge plan that addresses ongoing mental health treatment, life skills to foster success in the community, housing or placement needs, connection with insurance or financial benefits, substance use services referral/follow up when indicated, other health care needs, medication supply, and transportation.

The discharge plan will require working closely with Individuals to facilitate transportation from the OHBH facility to the Individual’s next residence. Linkages to appropriate care coordination, including Peer Bridgers and Program of Assertive Community Treatment (PACT) referrals when appropriate should be considered.

ASB must coordinate with Indian Health Care Planning (IHCP) and provide appropriate notification to Tribes per RCW 71.05, depending on services, when and if ASB knows or has reason to know that an Individual is American Indian/Alaska Native (AI/AN) and accesses IHCP services.

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The ASB must ensure individuals will not be discharged as pedestrians from the OHBH facility.

The ASB must have its own vehicle and contracted transportation capabilities.

When an Individual requires ongoing or follow-up medical care after being discharged from the OHBH facility, the ASB will consult with the Individual’s primary care provider, including appropriate coordination with IHCPs, in the community and schedule follow-up outpatient appointments following the Individual’s discharge from the facility.

If providing involuntary services, ASB will follow any relevant Tribal Crisis Coordination Protocols as outlined in RCW 71.05.

G. Emergency Procedures and Elopement

The ASB, in consultation with HCA, DSHS and local law enforcement, will develop written escalation protocol for emergency situations and when appropriate to engage local law enforcement and/or crisis services, including Tribal services.

1.6 MINIMUM QUALIFICATIONS

The following are the minimum qualifications for Bidders:

A. Licensed to do business in the state of Washington or provide a commitment that it will become licensed in Washington within thirty (30) calendar days of being selected as the ASB.

B. Licensed to do business with the City of Tukwila or provide a commitment that will become licensed in Washington within thirty (30) calendar days of being selected as the ASB.

C. Licensed as a behavioral health agency (BHA) with the Washington State Department of Health (DOH) or provide a commitment to submit an application, including required policies and procedures and fees, to become a BHA within sixty (60) days after being selected as the ASB; or have a Tribal Attestation Agreement with DOH.

D. Commitment to apply for an RTF license, including all required documentation and fees, with DOH within sixty (60) days after being selected as the ASB.

E. Experience with operating and managing behavioral healthcare services.

F. Provision of, or agreement to enter into within thirty (30) calendar days of being selected as the ASB, a Core Provider Agreement (CPA) with HCA.

G. Experience with and have an agency infrastructure for billing and clinical review processes required by King County Integrated Care Network, managed care organizations (MCOs), Behavioral Health – Administrative Service Organizations (BH-ASOs) and commercial insurance.

1.7 FUNDING

HCA anticipates start-up funding for the first six (6) months, followed by ramp-up operational funding for the next six (6) months, based on need (Bidder response to Attachment E-1, Cost Budget Worksheet) and available funding.

Portions of ASB’s revenue will be earned during and after the ramp-up period, through the cost of treatment services paid through negotiated contracts with King County Integrated Care Network, MCOs and BH-ASOs, as appropriate. The costs for treatment services will also be paid as fee-for-service through a Core Provider Agreement with HCA.

Please also refer to the following sections in Exhibit B, Draft Contract for more details on compensation:

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A. Section 3.3 Compensation.

B. Schedule A: Statement of Work; subsection 7 Compensation.

C. Schedule A: Statement of Work; subsection 8 Billing and Payment.

D. Schedule C: Start-Up and Ramp-Up, subsection 6 Payment Considerations.

Any contract awarded as a result of this solicitation is contingent upon the availability of funding.

1.8 PERIOD OF PERFORMANCE

The period of performance of any contract resulting from this RFP is tentatively scheduled to begin on January 2026 through January 2031. However, services are anticipated to start July 1, 2026.

Amendments extending the period of performance, if any, will be at the sole discretion of HCA.

The Health Care Authority reserves the right to extend the contract in increments that HCA deems appropriate and is mutually agreed upon.

1.9 ADA

HCA complies with the Americans with Disabilities Act (ADA). Bidders may contact the RFP Coordinator to receive written information in another format (e.g., large print, audio, accessible electronic formats, and other formats).

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2. GENERAL INFORMATION FOR BIDDERS

2.1 RFP COORDINATOR

The RFP Coordinator is the sole point of contact in HCA for this solicitation. All communication between the Bidder and HCA upon release of this RFP must be with the RFP Coordinator, as follows:

Name Cendy Ortiz

Email Address HCAProcurements@hca.wa.gov

Any other communication will be considered unofficial and non-binding on HCA. Bidders are to rely on written statements issued by the RFP Coordinator. Communication directed to parties other than the RFP Coordinator may result in disqualification of the Bidder.

2.2 PRE-PROPOSAL CONFERENCE

A pre-proposal conference is scheduled to be held on November 10, 2025 at 3 pm PT ., Pacific Time via a Zoom link below. All prospective Bidders should attend. Attendance is not mandatory, except for Bidder who want to participate in the facility walk-through, see Section 2.3 below.

https://teams.microsoft.com/l/meetup-join/19%3ameeting_NjZlZGE3NGEtNzA2Ny00OGUyLWI4NjMtZTc5NDdmZTMyNDI0%40threa d.v2/0?context=%7b%22Tid%22%3a%2211d0e217-264e-400a-8ba0-

57dcc127d72d%22%2c%22Oid%22%3a%22adb04a68-02b6-424e-a1f1-e20f761b7d68%22%7d

Meeting ID: 295 926 878 528 0 Passcode: VZ6Pt2zj

Dial in by phone +1 564-999-2000,,441280126# United States, Olympia

(833) 322-1218,,441280126# United States (Toll-free) Find a local number Phone conference ID: 441 280 126# For organizers: Meeting options | Reset dial-in PIN HCA will answer questions at the pre-proposal conference or in subsequent communication with the RFP Coordinator. Questions will be documented and answered in written form. A copy of the questions and answers will be posted on WEBS as an Amendment to this RFP. HCA will be bound only to its written answers to questions.

Bidders will receive Facility Walk-Through information and details at the Pre-Proposal Conference.

2.3 FACILITY WALK-THROUGH

HCA will host a facility walk-through of the OHBH facility on the date found in Section 1.2 Estimated Schedule of Solicitation Activities.

HCA RFP No. 2025HCA11 Page 17 of 49

Bidders MUST attend the Pre-Proposal Conference to confirm their participation and attend the Facility Walk-Through.

The walk-through will allow Bidders to see the grounds of OHBH and visit the wings where services will be provided, to assist Bidders to better estimate costs for cost proposals and planning of program modality(ies).

2.4 LETTER OF INTENT TO PROPOSE (OPTIONAL)

Bidders may submit a Letter of Intent to Propose. The Letter of Intent to Propose must be emailed to the RFP Coordinator, listed in Section 2.1, and must be received by the RFP Coordinator no later than the date and time stated in the Solicitation Schedule, Section 1.2. The subject line of the email must include the following: [Solicitation #] – Letter of Intent to Propose – [Your entity’s name].

The Letter of Intent to Propose may be attached to the email as a separate document, in Word or PDF, or the information may be contained in the body of the email.

Information in the Letter of Intent to Propose should be placed in the following order:

A. Bidder’s Organization Name;

B. Bidder’s authorized representative for this RFP (who must be named the authorized representative identified in the Bidder’s Proposal);

C. Title of authorized representative;

D. Address, telephone number, and email address;

E. Statement of intent to propose; and

F. A detailed description of how the Bidder meets ALL the minimum requirements specified in Section 1.6 of this RFP.

HCA may use the Letters of Intent to Propose as a pre-screening to determine whether Minimum Qualifications are met.

2.5 INTERESTED SUBCONTRACTOR LIST

HCA supports and encourages contracts and subcontracts with small, diverse, and veteran-owned businesses. To support participation in this process, the RFP Coordinator will add a list of Interested Subcontractors to the RFP. The RFP Coordinator will prepare the List based on the timely and complete submission of specific information requested in this section. The purpose of the List is to communicate to prime bidders the capabilities of interested subcontractors who can perform components of this RFP’s Scope of Work.

A. Interested Subcontractor Instructions

i. Failure to follow the instructions in this Section may prevent your information from being included in the List.

ii. An interested party must complete the below table to submit their firm name, contact information, and the summary of their capabilities as they relate to this

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RFP’s Scope of Work. Submissions are limited to what is requested in the table below and capability summaries must be two paragraphs or less.

iii. The RFP Coordinator will only include the information requested below. Do not submit marketing materials.

iv. Submissions must be emailed to the RFP Coordinator, with the subject line “RFP # Interested Subcontractor List – [Interested Subcontractor Name]” by the date specified in Section 1.2

v. All material submitted for the Interested Subcontractor List becomes a public record.

Interested Subcontract Name

Contact Name Contact Address, Phone Number, and Email Address

Summary of your capabilities as it relates to the Scope of Work

B. Posting Date

Complete and timely submissions will be compiled and posted in alphabetical order by interested subcontractor name. HCA anticipates the List will be posted as an RFP amendment on the Interested Subcontractor List Posted date identified in Section 1.2. Late submissions will not be posted.

C. Information Provided As-Is

The Interested Subcontractor List is provided as an opportunity to support participation in this RFP. HCA provides this information as a courtesy with no warranties or representations as to any party and no guarantee of a subcontract. The Interested Subcontractor List shall not be construed as an endorsement by the state of Washington or HCA. The interested party is responsible for the completeness and accuracy of their submission.

2.6 BIDDER QUESTIONS PERIOD

(If more than one bidder question period is offered, update this language and the solicitation schedule Bidders are provided an opportunity to ask questions during the bidder question period which starts on the date of the RFP posting and concludes on the Questions Due date specified in Section 1.2 Estimated Schedule of Solicitation Activities.

A. Questions regarding the RFP will only be accepted in writing, sent by email to the RFP Coordinator. The Bidder must use the following email subject line when submitting questions:

“RFP # Question(s) – [Bidder Name]” to ensure timely receipt.

B. HCA anticipates it will post answers to the questions in WEBS as an RFP amendment on the Answers Posted date specified in Section 1.2 Estimated Schedule of Solicitation Activities.

C. HCA is under no obligation to respond to any questions received after the Questions Due date but may do so at its discretion.

HCA RFP No. 2025HCA11 Page 19 of 49

2.7 SUBMISSION OF PROPOSALS

Proposals must be received by the RFP Coordinator no later than the Proposal Due deadline in Section 1.2, Estimated Schedule of Solicitation Activities.

Proposals must be submitted in a flash drive and mailed via certified mail to the RFP Coordinator at the address listed below. The Proposal must be received by the RFP Coordinator at the address specified below. no later than the date and time specified in Section 1.2. Bidders should allow for normal mail delivery time to ensure timely receipt of their Proposals by the RFP Coordinator. Bidders are encouraged to submit their responses early to ensure unforeseen delivery issues such as weather or traffic problems. Time extensions will not be granted.

Washington Health Care Authority Attention: Cendy Ortiz/Kelly Palmer

626 8th Ave SE PO Box 42692

Olympia, WA 98504-2692

Encrypted flash drives will not be accepted; however, Bidder may secure their flash drive with a password. Bidder must email the flash drive password to the RFP Coordinator listed in Section 2.1.

Bidder must include the subject line as “2025HCA11- [BIDDER NAME]” in email to RFP Coordinator.

Proposals must meet the following requirements:

A. Attachments to email must be in Microsoft Word format or PDF. Worksheet E-1, Cost Budget Worksheet can be Excel format.

B. The Cost Proposal must be submitted as a separate attachment.

C. Zipped files will not be accepted by HCA as a proposal submission.

D. The following forms and certifications must have a signature of the Individual within the organization authorized to bind the Bidder to the offer:

Bidder Forms & Certifications (Exhibit A, Section A); and

Executive Order 18-03 Worker’s Rights (Exhibit A, Section G).

HCA does not assume responsibility for problems with flash drives or delays in delivery by the United States Postal Service.

Bidders should allow sufficient time to ensure timely receipt of the proposal by the RFP Coordinator.

Late proposals will not be accepted and will be automatically disqualified from further consideration, unless HCA email is found to be at fault or HCA deems a grace period is in the best interest of the State. All proposals and any accompanying documentation become the property of HCA and will not be returned

2.8 PROPRIETARY INFORMATION / PUBLIC DISCLOSURE

Proposals submitted in response to this RFP will become the property of HCA. All proposals received will remain confidential until the Apparent Successful Bidder is announced; thereafter, the proposals will be deemed public records as defined in chapter 42.56 of the Revised Code of Washington

(RCW).

Any information in the proposal that the Bidder desires to claim as proprietary and exempt from disclosure under chapter 42.56 RCW, or other state or federal law that provides for the nondisclosure

HCA RFP No. 2025HCA11 Page 20 of 49 of a document, must be clearly designated.