MOUD Adoption Among Clients of Organizations That Provide MOUD or Coordinate Care With External Providers
In July 2018, Philadelphia became the first U.S. municipality to mandate the availability of medications for opioid use disorder (MOUD) in publicly funded substance use disorder treatment agen cies. All agencies were required to provide MOUD onsite or document a plan to coordinate care with external MOUD providers (1). Although the latter option allowed agencies to comply with the mandate without dispensing MOUD themselves, loss to follow-up has been documented in other systems that coordinate external