Opioid Treatment Programs (OTPs) are programs overseen and regulated by the Substance Abuse and Mental Health Services Administration (SAMHSA) and the State Opiate Treatment Authority to treat people with opioid use disorder (OUD).

OTPs combine counseling with evidence-based medications including methadone, buprenorphine (i.e. Subutex or Suboxone), and naltrexone (Vivitrol) to treat opioid use disorders. These medications, known as Medications for Opioid Use Disorder (MOUD’s), work in a variety of ways to bind to or block the opioid receptors in the brain and help prevent withdrawal symptoms and cravings. When prescribed appropriately, these medications are very safe, help support recovery, have been shown to reduce relapse, improve physical and mental wellbeing and reduce rates of crime and incarceration.

The Quil Ceda Creek Counseling Company (Q4C) is an OTP owned and operated by the Tulalip Tribal Federal Corporation (TTFC). We are here to provide opioid use disorder treatment to tribal citizens as well as any non-native individuals who live in Snohomish County. Patients who enroll at Q4C must have opioid use disorder. Prospective patients will first receive a thorough assessment to determine their eligibility for our program. Patients will not be eligible to receive medication for opioid use disorder (MOUD) until eligibility is confirmed and enrollment is complete.

The cost of treatment varies based on the individualized treatment plan. However, these costs are typically covered in full by your insurance. We also offer cash pay pricing upon request. We accept Medicaid and most major insurance plans. Please note: we are now accepting Medicare, but not Kaiser as of yet. If you are not currently signed up for insurance, we have staff on-site who can assist with this process.

In alliance with the federal ADA laws, no dogs or other pets are allowed in the clinic. However, service animals who are specifically trained to do work or perform a task for a person with disabilities are welcome. Please note: comfort and/or emotional support animals are not service animals and are not recognized by the ADA.

MAT stands for Medication Assisted Treatment. This is outdated term that has now been replaced by the term Medication for Opiate Use Disorder (MOUD). In the past, MAT was often used to refer to relatively short-term use of prescription medications to help someone stop using opiates. MOUD is now the preferred term among medical and behavioral health providers since it does not carry with it an implication for a treatment timeline, and many people will need long-term MOUD to their support recovery.

There is no specific time frame for MOUD treatment. This is decided on a case by case basis between you, your medical provider, and your primary counselor.

We are currently accepting new patients. Appointments are taken on a first-come-first-served basis, and are limited by staff availability. We will do everything we can to assist you, but please come in as early as possible to increase your chances of receiving a same-day appointment. This will become more difficult as our patient count increases. Please note: priority will be given to Tulalip Tribal members and pregnant women seeking services.

There are a couple ways to transfer to our clinic:

  1. Notify your current treatment program that you would like to transfer to Q4C.
  2. Sign a Release of Information at our clinic, and we will initiate the transfer on your behalf.