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Mosaic Group’s MOUD Toolkit

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Medications for Opioid Use Disorder (MOUD) Primary Care Practice Toolkit

The opioid epidemic continues to impact the nation, with overdose deaths at critically high levels. To help address this crisis, Mosaic Group developed the “Medications for Opioid Use Disorder Primary Care Practice Toolkit” with the support of the Maryland Department of Health.

About this Toolkit

This toolkit offers comprehensive guidance for healthcare providers, office staff, and patients, helping to streamline the integration of MOUD into primary care settings. By expanding access to this life-saving treatment, we aim to reduce overdose risk, enhance treatment retention, and improve the overall quality of care for individuals with opioid use disorder.

Download either the full toolkit or the individual tools (below). Please select the tools based on your role in care—provider, office staff, or patient.

Note: This toolkit provides resources designed for specific audiences. Please ensure that only the tools intended for patient use are provided to patients.

Download the Full Toolkit

Tools for Providers & Practice Staff

Getting Started with Buprenorphine

Audience: Provider

Purpose: This guide helps providers support patients interested in MOUD, covering patient assessment, treatment, follow-up, and billing codes.

Provider Information on Medications

Audience: Provider

Purpose: A quick reference for providers to support shared decision-making with patients by offering detailed information on each MOUD medication.

MOUD Quick Induction Guide

Audience: Provider

Purpose: A practical step-by-step tool for providers initiating patients on MOUD, offering best practice guidance for prescribing during induction.

Point of Care Testing in Primary Care

Audience: Provider

Purpose: A comprehensive guide for initiating CLIA-waived point of care lab testing (POCT) in primary care settings in cluding information on certification.

Precipitated Withdrawal

Audience: Provider

Purpose: This tool covers symptoms of precipitated withdrawal, challenges, prevention strategies, and treatment options.

Medical Assistant and Office Staff FAQs

Audience: Provider/Practice Staff

Purpose: This tool addresses common patient and staff questions, covering opioid withdrawal, scheduling, and medication refills.

Billing and Coding for Office-Based Treatment

Audience: Provide/Practice Staff

Purpose: This tool provides guidance on billing and reimbursement, including toxicology testing, telehealth modifiers, and Medicare codes.

Prescriber Resource Guide

Audience: Provide/Practice Staff

Purpose: This guide lists Maryland-specific resources for patients needing a higher level of substance use or mental health treatment, or having social needs.  It also includes prescriber resources for MOUD.

“How To Take Buprenorphine At Home” Induction Guide

Audience: Patient

Purpose: This tool provides patients with step-by-step instructions how to take Buprenorphine and explains potential side effects.

Tools for Patients

Patient-Provider Treatment Agreement

Audience: Patient

Purpose: A customizable treatment agreement to outline program expectations and safety precautions, establishing a shared understanding between patients and providers.

MOUD Medications Overview

Audience: Patient

Purpose: A patient-friendly document detailing all available MOUD options, highlighting the benefits and risks to involve patients in shared decision-making.

“How To Take Buprenorphine At Home” Induction Guide

Audience: Patient

Purpose: This tool provides patients with step-by-step instructions how to take Buprenorphine and explains potential side effects.

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