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Washington State Hub and Spoke Project

The Washington State Hub and Spoke Project was initiated as a part of the 21st Century Cures Act to address the opioid epidemic in Washington State.

Funded by the Substance Abuse Mental Health Services Administration (SAMHSA), the project will develop six hub and spoke (H&S) projects in six areas of the state.

What is the hub and spoke (H&S) model?

The H&S model connects a network of community providers around a central hub that offers a medications for opioid use disorder (MOUD) component to all patients seeking services for opioid use disorder

Map of hub and spoke treatment facilities in Washington

How does it work?

People with opioid use disorders (OUD) seek services in a variety of places and are often interested in receiving MAT as part of their opiate use disorder treatment. Unfortunately, many agencies, clinics, and facilities do not have MAT prescribers on staff or relationships with clinics that do.

Employing the model of a central hub with extending spokes, hub sites identify, collaborate, and subcontract with spokes to provide integrated MAT care, regardless of how participants enter the system.

What are the hub and spoke networks in Washington?

There are currently eleven networks:

  • Cascade Medical Advantage
  • Comprehensive Healthcare
  • Harborview Medical Center
  • Ideal Option
  • Lifeline Connection
  • MultiCare Health System
  • Northwest Integrated Health
  • Olympic Peninsula Health
  • Peninsula Community Health Services
  • Providence Health and Services
  • Valley Cities

For details, view the hub and spoke directory.