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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?

Map of the six areas with hub and spoke facilities

The H&S model connects a network of community providers around a central hub that offers a medication assisted treatment (MAT) component to all patients seeking services for opioid use disorders.

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 six networks:

  • Cascade Medical Advantage
  • Harborview Medical Center
  • Lifeline Connection
  • Northwest Integrated Health
  • Peninsula Community Health Services
  • Valley Cities

For details, view the hub and spoke directory.