Alaska has seen a dramatic rise in opioid use and opioid overdose related deaths. This project will help Alaska's unmet need by increasing the capacity and number of prescribers of Medication Assisted Treatment (MAT), increasing the number served, and augmenting present prevention efforts. There are inadequate resources for MAT, few physicians to prescribe them and only four opioid treatment programs. The project will increase access to treatment, reduce unmet needs, and opioid overdose related deaths. Alaska will focus on the three goals: increase provider capacity for MAT, increase the number of clients receiving appropriate OUD/MAT treatment, and decrease the negative impacts of opioid use. The following objectives will be tracked: number of OUD prescribers trained, number of OUD prescribers receiving buprenorphine waivers, number of OUD prescribers implementing MAT, number of behavioral health providers with training on OUDs, number of people who receive OUD treatment, number of people who receive OUD recovery services, numbers and rates of opioid use, and numbers and rates of opioid overdose-related deaths. This project will strengthen prevention efforts, decrease access to opioid medications through the purchasing and distribution of drug disposal bags, and provide naloxone kits. To build capacity to provide office-based opioid treatment (OBOT) Hub and Spoke treatment approach to target three to five behavioral health agencies in high needs communities. The MAT learning collaborative will help to expand services by increasing the number of physicians, physician assistants, and advanced nurse practitioners willing to prescribe buprenorphine and/or naltrexone. This project will also engage Alaska's expanding system of re-entry coalitions to facilitate access to MAT for individuals returning to the community from the Department of Corrections.