The Rural Communities Opioid Response Program (RCORP) is a multi-year opioid focused initiative by the Health Resources and Services Administration (HRSA) aimed at reducing the morbidity and mortality of substance use disorder (SUD), including opioid use disorder (OUD), in rural communities at the highest risk for SUD. RCORP-Implementation will advance Garrett County’s overall goal of reducing OUD by strengthening and expanding SUD/OUD prevention, treatment, and recovery service delivery. By expanding the options for SUD/OUD services across the care spectrum, RCORP-Implementation will help Garrett County residents access treatment and move towards recovery.