Opportunity Overview
Snohomish County Human Services, Behavioral Health Division is accepting qualifications from eligible providers to operate a Mobile Medication for Opioid Use Disorder (MOUD) treatment unit serving rural Snohomish County, with possible expansion to long-term-care and respite settings. The program is supported with Opioid Settlement Funding from the One Washington Memorandum of Understanding.
Deadline and Questions
The current Snohomish County opportunity page and the County’s 2026 MOUD application package state that applications are due September 30, 2026 at 5:00 p.m.. The County materials reviewed by Atlas do not state a time zone, so Atlas does not infer one. A separately published legal notice reports 3:00 p.m. for the same date. Because of that conflict, applicants should treat 3:00 p.m. on September 30, 2026 as the conservative filing cutoff unless the County’s designated contact confirms otherwise in writing.
Written questions are due September 14, 2026. The application package directs RFQ communications to Cleo Harris, Snohomish County Behavioral Health Program Manager, at Cleo.Harris@snoco.org. The RFQ includes a silent-period restriction directing proposer communications regarding the solicitation through the designated contact.
Eligibility
Eligibility is narrow. Applicants must be entities certified by the Washington State Division of Behavioral Health and Recovery to provide MOUD under the authorities cited by the County and must be currently operating within Snohomish County. Dr. Miltie is not established as meeting those prime-applicant requirements.
Scope
The selected provider is expected to operate a fully equipped mobile treatment unit capable of comprehensive care for underserved rural communities. The County expressly identifies MOUD, counseling, primary care, peer support, telehealth, and other support services, with a holistic model addressing physical, emotional and social needs.
Funding, Budget and Match
The County identifies Opioid Settlement Funding as the funding source but does not publish a total program pool or applicant-level award ceiling in the current public RFQ materials reviewed by Atlas. The application uses a cost-reimbursement budget and requires anticipated mobile-unit operating costs. It expressly excludes the purchase cost of the Mobile Unit. The budget form includes a machinery/equipment expense category and labels matching resources as optional, so no mandatory applicant match is stated. Any N9+ or other technology cost must still be confirmed as allowable for the applicant’s proposed scope before budgeting.
Application Requirements
The application package calls for one signed electronic proposal, with the application limited to five pages and the budget plus narrative limited to three pages, for a maximum of eight pages. The evaluation addresses organizational capacity and experience, evidence-based and population-responsive practices, MOUD treatment protocols, outreach/community connections, implementation readiness for January 1, 2027, and fiscal capacity including Medicaid, non-Medicaid and government-contracting experience. The selected contractor must comply with the County’s basic terms and conditions, insurance requirements, reporting requirements, public-disclosure rules and business associate agreement requirements.
Atlas Analysis
Atlas Opportunity Score: 96/100. This is a high-value strategic Washington opioid-response opportunity because it combines rural mobile care, MOUD, primary care and expressly contemplated telehealth.
N9+ Fit: 88/100 conditional. The Nonagon N9+ remote physical examination platform could legitimately support guided examinations, vitals and telehealth-enabled primary-care encounters within a qualified mobile MOUD model. The RFQ’s machinery/equipment budget category strengthens the potential fit, but the County does not expressly name N9+ and the mobile-unit purchase itself is excluded. Device/platform allowability must therefore be confirmed before inclusion in an applicant budget.
QC Healthcare Fit: 10/100 conditional. Dr. Miltie direct-applicant fit: 0/100. Neither QC Healthcare nor Dr. Miltie is currently verified as a DBHR-certified MOUD provider operating in Snohomish County. A truthful vendor or implementation role may be possible only under an eligible prime’s procurement and approved project design.
Applicant prospect: Therapeutic Health Services’ Snohomish/Everett branch is a strong preliminary fit because it currently operates in Everett and publicly provides methadone/Suboxone medication-assisted treatment. Washington Department of Health’s behavioral-health directory has also identified the Everett branch as an opioid treatment program. Current certification status and all RFQ-specific contracting requirements must still be reverified before applicant outreach or submission.
Official source: Snohomish County Human Services — Request for Proposals and Letters of Interest.