Key for Acquisition Type (alpha order):
RFA = Request for Application
RFB = Request for Bid
RFI = Request for Information
RFP = Request for Proposal
The Division of Care and Treatment Services is seeking applications from Tribal nations and counties for funding to cover room and board costs for Medicaid members with an opioid use disorder or at risk for an opioid overdose who are in residential substance use disorder treatment programs.
Wisconsin Medicaid has offered a residential substance use disorder treatment benefit since February 2021. This benefit provides treatment for youth and adults to promote recovery from substance use disorder and reduce the incidence and duration of institutional care Medicaid members might otherwise need.
Residential treatment services must be provided by agencies or facilities certified under Wis. Admin. Code ch. DHS 75, subch. V. Services may include assessment and treatment planning, individual and group and family counseling, psychoeducation, medication management, nursing services, case management, peer support services, recovery coaching, and drug testing to monitor and reinforce individual progress. Federal law prohibits Medicaid from reimbursing for the costs of room and board.
Covering the costs of room and board has been identified as a barrier to residential substance use disorder treatment for many Medicaid members. To make this benefit more accessible, DHS is using part of Wisconsin’s share of the National Prescription Opiate Litigation settlement funds to provide Tribal nations and counties funding to cover the room and board costs for individuals with an opioid use disorder or at risk for an opioid overdose in 2026.
Individuals supported by this funding can be seeking services for a current opioid use disorder diagnosis or for another substance use disorder while having a history of opioid use disorder. Due to the unpredictability of today's drug supply and the increased risk of overdose, people with a stimulant use disorder who have been exposed to opioids (demonstrated through a urine screen or surviving an overdose) can be supported with this funding.
Awarded applicants may use this funding to support members/residents of their Tribal nation or county and/or non-member/residents.
Eligible applicants
Federally recognized Tribal nations in Wisconsin and Wisconsin county agencies that contract with or plan to contract with a residential substance use disorder treatment program certified under Wis. Admin. Code ch. DHS 75 that is a Medicaid-enrolled provider.
Eligibility requirements are mandatory as of the date an applicant applies for this funding opportunity.
Application deadline
November 7, 2025, at 11:59 p.m.
Number of awards
83 (one for each Tribal nation and county in Wisconsin)
Award amount
Each Tribal nation and county has been notified of the amount of funding they are eligible to receive under this funding opportunity.
Length of funding opportunity
One year
Contract dates
January 1, 2026, through December 31, 2026
Total funding available
$3,000,000
Funding source
State fiscal year 2026 opioid settlement funds
Match requirement
None
Award/denial notification timeline
December 22, 2025 (estimated)
Reporting requirements
Recipients of this funding are required to follow all reporting requirements defined by DHS, including:
Performance reporting
Awarded applicants must submit four performance reports over the grant period.
- The first report will cover January 1 through March 31. It is due April 30, 2026.
- The second report will cover April 1 through June 30. It is due July 31, 2026.
- The third report will cover July 1 through September 30. It is due October 31, 2026.
- The final report will cover October 1 through December 31. It is due January 31 2027.
Expense reporting
Awarded applicants must submit monthly reports through GEARS.
Application submission
Applications are due by 11:59 p.m. November 7, 2025.
Eligible applicants must complete this online form to claim their funding.
By submitting an application, the applicant acknowledges the statements on the Grant Funding Opportunities: Legal Definitions and Requirements page.
Questions
Submit questions regarding this funding opportunity to: DHSDCTSBPTRFundingOpportunities@dhs.wisconsin.gov. Questions are due by October 10, 2025, at 11:59 p.m. Answers will be posted here on or around October 24, 2025.