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Medications for opioid use disorder (MOUD)

Medications for opioid use disorder (MOUD) is an approach to opioid use treatment that combines the use of FDA-approved drugs with counseling and behavioral therapies for people diagnosed with opioid use disorder (OUD).

COVID-19 and prescribers of buprenorphine-containing products

Find answers to your questions about buprenorphine-containing products in office-based opioid treatment settings, in our COVID-19 and prescribing FAQ.

What do I need to know as a provider?

MOUD is used at opioid treatment program (OTP) facilities as a method for assisting patients in recovery. If you have a patient in need of these services, refer to our listing of opioid treatment programs (OTP) in Washington State.

In addition, the Washington State Targeted Response (STR): Hub and Spoke Project funds multiple, geographically-based, integrated networks of care — called hub and spoke networks — for OUD treatment.  

On October 1, 2018 new policies went into effect for how providers can bill for primary care services in a substance use disorder setting and how physicians can bill when offering MOUD services.

To learn more about these policies, review:

What is a hub and spoke network?

Hub and spoke networks support collaborative, tiered levels of psychosocial and medical care to address OUD. They provide coordinated care within geographic regions led by a hub agency that is supported by five or more contracted behavioral health treatment, primary care, wraparound or referral agencies (spokes).

Where are these networks located?

Current hub and spoke networks in western Washington:

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

For full details on both hub and spoke facilities, view the hub and spoke directory.


Debra Cummins
STR opioid treatment manager
Phone: 360-725-9483