This study is about helping people with Opioid Use Disorder (OUD) in rural areas of Georgia using telehealth. Opioids are drugs that can help with pain but can be addictive. OUD is when someone can't stop using opioids even if it's hurting them. The study uses telehealth, which means doctors help patients through video calls. The study includes two phases: planning and implementation, at three rural Emergency Departments (EDs). In the planning phase, researchers learn about current treatments. In the implementation phase, they use telehealth to start treatment with medications for opioid use disorder (MOUD) like buprenorphine, and connect patients to peer recovery coaches (PRCs) for support.

• Patients are 18+ years, stable, and not already in OUD treatment.
• Study involves video calls with doctors and peer support.
• Minimal risk and no personal data shared publicly.

Patients will be contacted by a virtual PRC, asked for consent to join the study, and helped to start their treatment. Data collected will be kept confidential and used to improve future treatments. The study aims to make OUD treatment more available in rural areas.