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In 2019, Maine has implemented a number of policy changes that provide new tools for combating the opioid epidemic. Drawing on information gathered through an expedited analysis of available public information and data, key informant interviews, and a review of literature on promising Medicaid initiatives targeting the opioid epidemic, this report presents ten policy options for Maine to leverage federal Medicaid expansion funds and other financing opportunities to develop a robust behavioral health care system that can respond to the immediate opioid crisis and provide comprehensive evidence-based treatment and recovery supports to low-income Mainers with opioid and substance use disorders in the long term.