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patient paperwork. Forms include a Consent to Treat and a Consent to Release lnformation, allowing patient data to be shared befween the jail and the MAT partner organization. lnduction: A licensed, X-DEA waivered provider and NCM will operate from inside the jail to conduct a medical exam of each inmate who has completed the new pati.ent paperwork. If the provider diagnoses the inmate with substance use disorder and confirms the inmate is a candidate for MAT, the provider will prescribe an appropriate dose of medication and the NCM will handle documentation, registration, and induction dosing. In addition to inducting ner,v patients, the provider will review patient charts weekly and refill or adjust prescriptions as appropriate. Dosing: The NCM will prepare medication doses, administer balloon dosing (3 times per week) or daily dosing if medically appropriate, directly to all inmates on the MAT program, and maintain accurate electronic medical record (EMR) documentation. The dosing schedule will be determined by command staff in collaboration wirh the MAT partner organizationduring the implementation planning phase, Care Coordination: The Peer Support Specialist will coordinate scheduling of ongoing care for inmates at the MAT partner organization's local clinic, starting irnmediately post-release. Care coordination includes appointrnent scheduling, documentation, financial counseling, referrals to servicesn and communication with the patient to ensure smooth transition from onsite services to outpatient services. Staff Training; The MAT partner organization will deliver initial and refresher training ro all command and corrections staff on opioid use disorder, withdrawal symptoms, medication information, dosing protocols, and the role of behavioral counseling. Scheduling and the final content of training seminars will be deterrnined by command staff during the implementation L0 of 20