FINAL_2027-2032_LOI_for_Residential_Treatment.docx

LETTER OF INTEREST

FOR Washington County, Oregon

RELEASE DATE: 8/21/2026

DEADLINE FOR QUESTIONS: 8/28/2026

RESPONSE SUBMISSION DEADLINE: 9/4/2026

RESPONSES MUST BE SUBMITTED ELECTRONICALLY TO:

https://secure.procurenow.com/portal/washington-county-or

I INTRODUCTION

IA Summary Washington County Health and Human Services - Behavioral Health: The Addictions Program seeks to contract with qualified providers to deliver the following services from July 1, 2027 – June 30, 2032, as follows:

Provide Residential Substance Use Disorder (SUD) Treatment to eligible Washington County Residents. These Residential services are separate from CATT Residential Services.

IB Background Per Washington County Rules of Procurement 10-120(3) - Competitive Process – Personal Service Contracts.

Notwithstanding any other provision in these rules, for personal services contracts the County may use a Letter of Interest process which requires any prospective proposer(s) to file a letter by the given deadline that notifies the County of its interest in performing the work or responding to an RFP. If the number of interested proposers who turn in a letter does not exceed the number of contracts available, then the County reserves the right to negotiate a contract(s) with that responder(s) and forego the RFP process.

IC Contact Information Kiersten Vanderhoof Procurement Analyst II Email: kiersten_vanderhoof@washingtoncountyor.gov Phone: (503) 846-3585 Department: Procurement

ID Timeline

II SCOPE OF WORK, QUALIFICATIONS, & INSTRUCTIONS

IIA Scope of Work Substance Use Disorder (SUD) Residential Treatment are services delivered to individuals 18 years of age or older who: are unable to live independently in the community; cannot maintain even a short period of abstinence from substance use; are in need of 24-hour supervision, treatment, and care; and, meet the treatment placement criteria indicated in the American Society of Addiction Medicine (ASAM) Level 3.1 – 3.7.

The purpose of Residential Treatment Services is to support, stabilize, and rehabilitate individuals and support them to return to independent community living. Residential Treatment Services provide a structured environment consistent with ASAM Level 3.1 – 3.7 treatment, including; entry, assessment, placement, service plan, service note, service record, transfer and continuity of care, co-occurring mental health and substance use disorders (COD) treatment, residential substance use disorders treatment, residential women’s substance use disorders treatment, and recovery services. Residential Treatment Services will be appropriate to all population groups, based on the individual's needs, and may include; structured counseling, educational services, recreation services, self-help group participation services, and planning for self-directed recovery management to support the gains made during treatment.

Residential Treatment Services are services delivered to Washington County residents who: 1) are not eligible for the Oregon Health Plan or Medicaid; 2) have a diagnosed substance use disorder or co-occurring substance use and mental health disorders; 3) meet income requirements as established by Washington County; 4) are not covered by commercial insurance, or, if covered, include: a) coverage that is not accepted by the provider, b) out of pocket expenses determined by the provider to be a financial risk, or c) coverage that is insufficient to meet the individual’s treatment need.

Other Allowable Services (Subject to Availability of Funds): Provider may also provide:

1. Participant Supports: Intended to assist Washington County residents who are actively engaged in substance use disorder (SUD) services at contracted provider agencies. The goals of participant supports are to: reduce client barriers to SUD treatment and/or recovery services; promote positive SUD treatment/recovery outcomes; and, help engage and retain clients in the SUD treatment/recovery process. Participant supports must be clearly related to a goal in the client’s SUD services plan, and used to achieve one or more participant support goals.

Allowable Participant Supports include:

· Physical Health costs, including naloxone;

· Transportation and travel;

· Community services and supports (e.g., fees for id cards, childcare, recreational activities);

· Contingency management; and,

· Equipment.

Participant supports may not be used for tips or gratuities, housing subsidies, ongoing or recurring services, participant families or friends, or provider staff.

2. Peer Delivered Services (billable through Ayin)

3. Skills Training

4. Care Coordination

5. Case Management

Washington County does not guarantee equal funding among contracted providers, or consistent funding from year to year within the 5-year funding cycle. Contract amounts will be based on; services provided, utilization, capacity to deliver services, and negotiated budgets. Increases in funding will be based on need for services and on the County’s need to disperse funds. Awards under this LOI will be for 5 years, with annual options to renew contracts. Contracts for Residential Treatment Services are subject to availability of funds.

Providers shall be responsible for the following:

1. Ensure that individuals receiving funding through this Agreement for SUD outpatient treatment services meet all Washington County General Fund eligibility criteria;

2. Comply with all applicable OARs to provide residential substance use disorder treatment, as described in OAR 309-018-0100 through 309-018-0215;

3. Providers must maintain approval or license issued by OHA in accordance with OAR 415-012-0000 through 415-020-0096;

4. Provide services that are evidence-based and/or follow promising practices;

5. Develop and implement quality assurance and quality improvement processes to improve progressively the quality of services;

6. Participate in periodic contract check-in meetings with Washington County Addictions;

7. Participate in clinical chart, claims, and general fund eligibility compliance reviews;

8. Comply with 42 CFR Part 2 when delivering substance use disorder services;

9. Report all behavioral health services provided under this Agreement to the Resilience Outcomes Analysis and Data Submission (ROADS) system (https://www.oregon.gov/oha/hsd/compass/pages/roads.aspx) and sign and submit to Washington County Addictions, a quarterly ROADs data attestation;

10. Submit a quarterly report in accordance with Washington County contract expectations; and,

11. Enroll clients in residential treatment according to federal admission priorities, and according to Washington County’s Financial Assistance Agreement with the Oregon Health Authority.

IIB Qualifications Provider must meet all of the following qualifications to perform the scope of work described above:

1. Provider must meet all of the certifications set forth in OAR 309-008-0100 through 309-008-1600 for the provision of indigent SUD residential treatment services prior to submitting a response;

2. Provider must be enrolled in the Resilience Outcomes Analysis and Data Submission (ROADS) system (https://www.oregon.gov/oha/hsd/compass/pages/roads.aspx); and,

3. Provider must maintain all required insurance coverage, including; General Liability ($500K), Worker’s Compensation, Automobile Liability w/ additional insured endorsement ($1M/$2M), Professional Liability ($1M/$3M), Cyber-Security Insurance, and Sexual Abuse & Molestation Liability ($3M coverage required when providing services to vulnerable populations) prior to contract execution. Providers must adhere to all requirements, including insurance limits that change during the course of funding.

IIC. LOI Response Instructions Qualified providers interested in providing Residential Treatment Services should submit a response to this LOI by 4:00 pm September 4, 2026. Responses should be submitted on the OpenGov procurement portal at: https://procurement.opengov.com/portal/washington-county-or The LOI response must include all of the following:

1. Confirmation that the Scope of Work above will be delivered as described above;

2. Confirmation that the respondent will adhere to the responsibilities outlined in Section IIA, and;

3. Confirmation that the respondent meets all qualifications outlined in Section IIB.

If necessary, a Request for Proposal process will be engaged post-LOI process. All LOI respondents will be notified re: qualifications to provide the Scope of Work described above and subsequent RFP process, if needed.