Conclusions
The present findings can inform SAMHSA’s proposed OTP regulatory reform which includes, among other important changes, expanding access to take-home doses and to telehealth, permitting a greater variety of staff to administer/dispense methadone in keeping with state regulations, and permitting provider medical assessment for admission to be conducted via TeleVideo or by a provider outside of the OTP. Should future pandemics or other disasters require easing of particular aspects of the OTP regulations, findings from OTP staff and SOTAs indicate that specific regulatory exemptions can be effective in increasing access to services.