The Area Agency on Aging & Disabilities of Southwest Washington (AAADSW) is accepting qualified-provider applications for its 2026 Health Related Social Needs (HRSN) Medically Tailored Meals service contract. The opportunity supports medically tailored nutrition services for eligible Apple Health (Medicaid) members in one or more counties in AAADSW’s Southwest Washington region: Clark, Cowlitz, Klickitat, Skamania, and Wahkiakum.
Funding / value: AAADSW states that funding is limited and that maximum initial contract amounts will be limited while it contracts enough qualified providers to exhaust available funding. No applicant-level contract ceiling is stated in the public application packet.
Deadline: Rolling. AAADSW states that applications will close once it has contracted enough qualified providers to exhaust current funding. No fixed closing date, time, or time zone is published.
Core scope: providers develop and deliver medically tailored meals under a medically appropriate nutrition plan, generally up to three meals per day for up to six months, with delivery and required reporting. Nutrition plans should be developed by a registered dietitian nutritionist (RDN), or by the member’s primary care provider when an RDN is unavailable. Washington RDN certification requirements apply.
Provider qualifications: applicants must meet the packet’s qualifications, including at least one year of demonstrated experience, Washington business licensing or an applicable exemption, required professional licenses/certifications, defined service area coverage, administrative and accounting controls, ability to front program expenses pending reimbursement, program operating budget, recent audit or financial review, current MTM rates, W-9/TIN, insurance, required background checks, mandatory-reporting policies, qualified staffing, relevant monitoring or program-review records, and exclusion/debarment compliance. Applicants must not be suspended, debarred, excluded, or otherwise ineligible.
Member eligibility: the packet identifies Apple Health eligibility, USDA low or very low food security, a chronic condition, and specified transition or high-risk criteria. Additional meals may be authorized for qualifying pregnant/postpartum members or households with children under 21, subject to the program rules.
Submission: complete and initial the application pages, sign the provider qualification attestation, assemble all required supporting documentation, and email the packet to AAADSWContracts@dshs.wa.gov.
Atlas assessment: Atlas Opportunity Score 92/100. N9+ Fit 0/100. QC Healthcare Fit 0/100. Dr. Miltie direct-bid fit 0/100. This is strong Washington Medicaid HRSN and Food Is Medicine contracting intelligence, but the verified scope is medically tailored nutrition service delivery rather than remote physical examination, RPM, or clinical staffing.
Realistic Washington organization: Meals on Wheels People screens at approximately 98/100 organizational fit based on its Clark County service footprint, accredited medically tailored meals program, RDN-led nutrition planning, and healthcare partnerships. That is a screening assessment only; AAADSW-specific licensing, insurance, financial, policy, staffing, background-check, and other qualification requirements still require organization-specific verification.
Official sources: AAADSW Contracts and the 2026 HRSN Medically Tailored Meals Service Contract Application.