The California MAT Expansion Project Overview

Summary and Purpose

In an effort to address the opioid epidemic throughout the state, the California Department of Health Care Services (DHCS) is implementing the California Medication Assisted Treatment (MAT) Expansion Project.  The California MAT Expansion Project aims to increase access to MAT, reduce unmet treatment need, and reduce opioid overdose related deaths through the provision of prevention, treatment, and recovery activities. The California MAT Expansion Project focuses on populations with limited MAT access, including rural areas and American Indian & Alaska Native tribal communities. The California MAT Expansion Project is funded by grants from the Substance Abuse and Mental Health Services Administration (SAMHSA).

State Opioid Response 1 and 2 (California MAT Expansion Project)

The goal of California's State Opioid Response (SOR) 1 and 2 grants are to increase the prevention, treatment and recovery service activities initiated within the California MAT Expansion Project. The project aims to increase access to treatment and reduce opioid overdose deaths through more than 30 programs focused on prevention, treatment, and recovery activities. The project has a special focus on populations with limited MAT access, including youth, rural areas and American Indian & Alaska Native tribal communities.

The California MAT Expansion Project is composed of several projects which are led by a diverse team of stakeholders and partners throughout the state. The following are some of the projects included in this grant:

SOR 2 Programs


Addiction Treatment Starts Here: Primary Care, Behavioral Health, & Community PartnershipsThe Center for Care Innovation's Addiction Treatment Starts Here program includes three learning collaboratives designed to increase access to MAT through primary care, behavioral health and community partnerships.
California Bridge ProgramThe California Bridge Program is developing hospitals and emergency rooms into primary access points for the treatment of acute symptoms of SUDs – enhancing and increasing access to 24/7 treatment in every community in the state.
California Department of Public Health ProjectsThe California Department of Public Health will incorporate academic detailing into health plans and health payer systems, establish a fentanyl reporting system, and work to improve the functionality of the opioid surveillance dashboard.

California Hub & Spoke System


The California Hub and Spoke System consists of narcotic treatment program (Hubs) and office-based treatment settings (Spokes) that provide ongoing care and treatment. The program aims to increase the number of providers prescribing buprenorphine for opioid use disorder.

California Poison Control System


The University of California, San Francisco is building expertise of opioid overdose, opioid withdrawal, and initiation of buprenorphine for pharmacists and physicians staffing the California Poison Control Center, leveraging the existing scope, ease of access, and current CPCS/emergency department consultation relationships.

California Substance Use Line


The University of California, San Francisco is expanding the current 24/7 MAT mentorship network to cover all new emergency departments, primary care, mental health, and hospital access points.

California Youth Opioid Response


This program aims to increase access through expansion of current and new services for MAT and OUD prevention for youth & families.

Choose Change California


The Choose Change California campaign launched in 2019 in a statewide multi-media campaign,, to promote the positive message that treatment for the disease of opioid addiction is effective, evidenced-based and available.  So far, the effort has resulted in 1.2 billion impressions in television, radio and billboards ads, in multiple languages and culturally sensitive outlets, with the outcome of over 290,000 views to the website linking individuals to treatment.

Continuity Consulting Projects


The California Conservation Corps is performing initial assessments to determine prevention, treatment and/or recovery activities that can address the opioid crisis.

County Touchpoints


This project aims to increase awareness of treatment resources, how to access MAT services, and overdose prevention and intervention tactics for various criminal justice populations.

CURES Optimization


The California Department of Justice will support the optimization and performance of California's Prescription Drug Monitoring Program database.

DUI MAT Integration


This effort includes California Highway Patrol trainings to increase awareness of drug use and impairment and the creation of linkages between DUI treatment programs and MAT resources and referrals.

Expanding MAT in County Criminal Justice Settings


This program focuses on expanding access to at least two forms of MAT to persons in jails and drug courts.

MAT Access Points


The aim of this project is to support MAT start-up activities and/or enhancement efforts in at least 200 MAT Access Points throughout California, with the goal of increasing the number of patients with substance-use disorders treated with medications, counseling and other recovery services.

MAT Toolkits


Aurrer​a Consulting is developing a series of educational toolkits about the benefits of MAT, and to promote access to this evidence-based treatment, and to promote access to this evidence-based treatment.

Mentored Learning


This project supports the expansion of the mentored learning project led by the California Society of Addiction Medicine.

Naloxone Distribution Project


The Naloxone Distribution Project aims to reduce opioid overdose deaths through the provision of free naloxone, in its nasal spray formulation.

NTP Treatment Capacity


The goal of this project is to expand MAT capacity in California's Narcotic Treatment Programs, with an emphasis on increasing access to buprenorphine.

Primary Care Residency


This project will educate and train health care professionals about addiction medicine by incorporating addiction medicine & MAT curriculum into California residency programs.

SUD Workforce: Recovery & MAT Summit


This workforce training summit will provide education and resources pertaining to MAT, tools to address and reduce stigma, and ways the workforce can join California's current efforts to address SUD emerging epidemics.

Supportive Housing


Health Right 360 is providing access to recovery residence transitional housing and peer support for homeless individuals with OUD in San Francisco to facilitate continued engagement in SUD treatment and related recovery support services.

Transitions of Care


This project aims to strengthen the addiction treatment eco-systems in California counties and decrease gaps in coordination of patient transitions moving between higher and lower levels of care.

Tribal MAT Project


The Tribal MAT Program aims to improve MAT access for urban and tribal communities by increasing the total number of waivered prescribers certified and providing expanded MAT services that incorporate the values and culture of the communities being served.

Waivered Prescriber Support Initiative


The University of California, Los Angeles will survey waivered prescribers, which will guide the work of “physician champions" deployed to provide on-site support.

Young People in Recovery


Young People in Recovery will launch chapters and life-skills curriculum programs to youth in recovery from opioid use and substance use disorders.


Contact Us

For questions regarding California's MAT Expansion Project, email

MAT Expansion Resources​

CA MAT Website                                     

Naloxone Distribution Project                  

SOR​ 1 Year Report                             

Choose Change CA                                  

I'm Seeking Help                             

Last modified date: 4/25/2022 1:13 PM