Self-Assessment Checklist for Medication-Assisted Treatment for Opioid Use Disorder


The Self-Assessment Checklist for implementing medication-assisted treatment (MAT) for opioid use disorder (OUD) in primary care and ambulatory care settings is based on the MAT for OUD Playbook so practices can track progress and customize their implementation approach for their program or practice. The self-assessment checklist can be used before, during, or after implementation. The checklist includes 58 questions.

How to Use the Checklist

Use the MAT for OUD Self-Assessment Checklist to understand and monitor where your organization stands with respect to all aspects of implementation. 

  • Consider having all members of your Planning and Implementation Team complete the checklist and discuss the responses.
  • As you plan to implement MAT in your setting, use the checklist and discussion with the Planning and Implementation Team to identify areas of focus and priority.  
  • As you continue implementing MAT into your setting, use the MAT for OUD Self-Assessment Checklist to assess your progress and identify areas for improvement.  

Downloadable Version

A downloadable version of the self-assessment checklist is available. You may wish to print several copies of the checklist for providers and staff to answer individually before coming to collective agreement on responses to each question.