Opioid use disorder is a major epidemic in the United States. • Rural areas suffer the most with limited resources available for treatments options. • A limited number of providers participate in MAT programs due to a negative stigma. • Project Echo was developed to spread awareness and information about MAT to educate providers and healthcare facilities about the needs of opioid use disorder patients that are not being met. • Buprenorphine, naltrexone, and methadone are the FDA approved medications to assist in MAT. • Medication assisted treatment is a long-term commitment to successfully maintain sobriety. • Medication alone is not a reliable means of achieving nor maintaining sobriety. • Cognitive behavioral therapy has proven to be a key factor in battling opioid use disorder (OUD).https://commons.und.edu/pas-grad-posters/1227/thumbnail.jp