RI Medicaid is applying for CMS Cooperative Agreement through Section 1003: Demonstration Project to Increase Substance Use Provider Capacity. Rhode Island has created an interagency project, with participation from the Department of Behavioral Health, Developmental Disabilities and Hospitals, the Executive Office of Health and Human Services, and the Departments of Health and Children, Youth, and Families. Throughout the 18 month planning period, Rhode Island will:oAssess existing service capacity gaps among Medicaid service providers, to include: levels of care for substance use and co-occurring disorders, integration of substance use and mental health services, and geographic disparities in access to care.oAssess substance use workforce infrastructure gaps that impact service capacity among Medicaid providers and make a plan to fill them ? including exploration of the need for increased capacity within the ASAM levels of residential service.oInvestigate payment reforms and sustainability strategies, by investigating rates and their relationship to gaps in system capacity, and by assessing and supporting substance use providers? technical capabilities and infrastructure needs related to maximizing billing.?Support Providers through Training, TA, and Recruiting, addressing disparities in care, first within the assessment activities, and then by implementing training and recruitment strategies to increase the numbers of providers able to mitigate them.?Maximize technology toward quality care by providing agencies with specific telemedicine tools and an evidence-based patient engagement app to increase participation in treatment.