Delivering Medications for Opioid Use Disorder in Primary Care: Environmental Scan

A new environmental scan from the AHRQ Academy for Integrating Behavioral Health and Primary Care offers a comprehensive look at current trends, challenges, and innovations in delivering medications for opioid use disorder (MOUD) in primary care settings. Synthesizing the results of an exhaustive literature review and in-depth key informant interviews, this report explores major policy changes, the rise of telehealth, emerging treatment models like low-threshold care, the importance of stigma reduction, and the unique needs of high-risk populations, including pregnant women and formerly incarcerated individuals. This is an essential resource for anyone looking to understand the current climate of MOUD treatment in primary care settings. It also serves as the foundation for the next generation of the AHRQ Academy MOUD Playbook—a practical guide to delivering effective, evidence-based care for opioid use disorder in primary care settings—that is currently in production. Access the environmental scan. https://integrationacademy.ahrq.gov/sites/default/files/2025-07/MOUD_Playbook_Environmental_Scan_2025.pdf?c-6-ANN