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impact a program like this has already demonstrated it can have on those it serves. The program also should follow best practice guidelines published by SAMHSA (substance Abuse and Mental Health Services Administration) as well as the "Guidelines for Managing Substance Withdrawal in Jails" developed and published by the BJA (Bureau of Justice Assistance). These plus an understanding of and how to incorporate other organizations tools and recommendations for cutting operational costs in jails related to those incarcerated going through withdrawal, providing counseling along with the medication, peer support, case navigation, addressing co-occurring disorders, reducing overdose rates post-release, and lowering the rate of recidivism the following minimum qualifications will be used to identify a partner to provide onsite medication-assisted treatment for inmates with comprehensive opioid, stimulant, and substance use disorder. The Kittitas County Jail has continued to research and adapt their current MOUD (formally MAT- Medication-Assisted Treatment) programming through outside MOUD/MAT collaborations and learning opportunities at all levels including with-in Washington state Jails and other providers, as well as at the nationalleveland beyond justthe incarcerated setting. The Kittitas CountyJailis confident an organization with all the necessary minimum qualifications can be procured for this project and enhancing their programs capabilities and results. Because this funding is associated with an already in place contract, there will be an immediate need for additional Nurse Care Management to ensure the facility has 7 day a week coverage for the activities described below. There will also be care coordination/counseling provided working within the MOUD program, as well as other programming available in the Kittitas County Jail, to increase awareness of treatment for co-occurring disorders and ensuring that clients have all necessary resources, appointments, and medications upon release. An additional provider may be incorporated immediately as well to handle any overflow as necessary from the current contracted providers of MOUD services and develop a working relationship to integrate a transitional period, if necessary between the current contracted providers and any new providers taking over the programming at the end of that contract. Screeninq The current established programming includes assessment and screening by jailstaff at the time of intake or during a person's incarceration. A potential client is referred to, or self-request, treatment for OUD (Opioid Use Disorder), or any other type of SUD (substance use disorder) services and is then assessed through either Hub and Spoke or the Nurse Care Manager (NCM) forthe appropriate programming. With the incorporation of NCM being available 7 days a week within the facility as part of this solicitation, the Kittitas County Jail wants all fresh bookings screened by NCM as soon as practicable, either right at the time of booking or next available shift. The intake jail staff will continue to screen based on questions and processes already in place and established by the Jail Administration with any input necessary from the MOUD partner. However, each intake will be followed up by the next available NCM either immediately or as soon as possible based on availability and scheduling. The NCM will begin with a general assessment for all substance use disorders (SUDs) utilizing NIDA validated screening tools (NIDA quick screen, NIDA Modified ASSIST). lf opioids are a primary substance