As part of the DHCS MAT Expansion Project funded through SAMHSA State Targeted and State Opioid Response grants, the CA Department of Health Care Services is implementing the California Hub & Spoke System (CA H&S). The CA H&S aims to combat the opioid crisis in California through a collaborative effort of relevant stakeholders to increase access to MAT services throughout the state, particularly in counties with the highest overdose rates. The project design adapted a successful program in Vermont, called the Hub and Spoke Model. The CA H&S consists of narcotic treatment programs, referred to as "Hubs," that serve as experts in treating OUD and office-based treatment settings, referred to as "Spokes," that provide ongoing care and maintenance treatment. CA H&S is actively increasing the availability of MAT for patients with OUD by increasing the total number of physicians, physician assistants and nurse practitioners prescribing buprenorphine, while working to develop a sustainable system of care using evidence-based practices for patients with OUD. ISAP is contracted to provide training, technical assistance, and implementation support to the CA H&S provider network through regionalized Learning Collaboratives and ongoing training and mentorship opportunities. As much as possible, CEs and CMEs are available for certified and licensed participants.
The CA H&S initiated in 2017 under STR and SOR SAMHSA grants. In 2020, under the SOR 2 grant funding, DHCS awarded Advocates for Human Potential (AHP) as the Administrative Entity to facilitate the contracting, invoicing, and data requirements with the CA H&S awarded provider programs.