RFP - perinatal outpatient substance use disorder services

The County of San Diego is requesting proposals for Perinatal Outpatient Substance Use Disorder Services across five geographic lots, with proposals due November 25, 2026 at 3:00 p.m., a pre-proposal conference on October 21 at 10:00 a.m. via Microsoft Teams, and questions due October 28 at 5:00 p.m. The County intends to award up to five contracts, one per lot (North Coastal, North Inland, Central/North Central, East, and South regions).

Federal funding precludes small-local business preference application; however, offerors are encouraged to demonstrate a 3% small-local business subcontractor participation requirement or document good faith efforts to meet this goal. Contractors must obtain DMC-ODS (Drug Medi-Cal Organized Delivery System) certification and comply with a Linguistic and Cultural Diversity Plan requiring culturally competent, multilingual service delivery for Spanish-speaking clients, immigrant communities, and other underrepresented populations.

Services must include outpatient treatment (ASAM 1.0), intensive outpatient services (ASAM 2.1), medication for addiction treatment, assertive field-based services, contingency management for stimulant use disorder, and optional ambulatory withdrawal management. Each lot must serve a minimum of 240 unduplicated outpatient clients annually and 75 unduplicated medication-for-addiction-treatment clients annually. Population served includes pregnant women, parenting women, and adolescent females aged 15 and older who are Medi-Cal beneficiaries or low-income/uninsured individuals.

The estimated maximum contract value per lot ranges from $14.4 million to $14.55 million. The initial contract term is one year with four one-year renewal options. Pricing is all-inclusive of operational, overhead, and ancillary expenses, with rates set by the County and non-negotiable upon award. Contractors must designate a Medical Director with DHCS enrollment and a Medicaid Provider Agreement prior to service delivery and obtain Medi-Cal certification within timelines set by the Department of Health Care Services. Funding sources include Medi-Cal, Drug Medi-Cal, Substance Use Prevention Treatment and Recovery Services Block Grant, and potentially Behavioral Health Services Act resources. The Contracting Officer is Lynnette Hesselgesser at LynnetteM.Hesselgesser@sdcounty.ca.gov.