IDHS/DASA is the Illinois Single State Authority (SSA) for SUD issues. Illinois has been impacted by the opioid crisis as evidenced by increased primary opiate clients among IDHS/DASA-funded treatment admissions, increased need for MAT for persons with OUD, increasing numbers of opiate overdose deaths, and increasing numbers of opiate-related emergency department visits and general hospital admissions. Evidence is also provided of the relative lack of MAT and Naloxone overdose reversal services in large areas of the state. This project proposes a comprehensive array of OUD treatment and RSS that includes: expanded outpatient methadone treatment and recovery home services; several primary healthcare-based outreach, linkage, MAT, and case management services; Vivitrol injection and linkage services for county jail prisoners and drug court offenders with OUD; community-based outreach, linkage, and recovery management services; hospital ED-based screening, recovery coaching, and linkage services; Suboxone education, consultation and support for general hospital medical staff; and establishment of an Illinois Opioid Crisis Line. The prevention services include: expanded Naloxone purchase, training, and distribution services in counties of high need and for EMS personnel; opiate-related enhancements to the Illinois Prescription Monitoring Program; opioid awareness activities for Illinois high school coaches and athletic directors; establishment of a statewide opiate awareness campaign; and development of an automated reporting system for the Illinois Drug Overdose Prevention Program. A data collection plan is provided that describes data collection, management, analysis, and reporting in response to federal requirements and a local decision to administer the SAMHSA/GPRA tool to persons admitted to the expanded OMT and recovery home services.