CBHC, through its CBHN subsidiary, operates as a convener and coordinator for multi-county initiatives falling under the umbrella of Project COAST (Coordinated Opioid and Stimulant Treatment). Project COAST is funded through a combination of NYS grants held by either CBHC or one of the CBHN members. Project COAST activities include a 24/7/365 support line providing same-day access to substance use disorder services, including low-threshold access to medication assisted treatment, peer support, non-medical transportation, and care management services. Through October, Project COAST has had 977 calls from 447 unique participants in 2023 and conducted a total of 512 MAT assessments. All individuals assessed for MAT are connected to a care manager who either connects them to new services or reconnects them with existing services based on client preferences. The program has had a significant impact on access to services in the covered region, linking 371 individuals with addiction treatment services, 80 with peer services, and 21 with prevention services. CBHN was awarded a grant for low threshold services, beginning Sept 2023 which expands on the COAST model by reaching more clients in rural areas as well as the senior population. In addition, CBHN manages a grant for transportation services for PWUD through an OASAS SAPT grant for nonmedical transportation services. The grant connects clients to rides that are provided by a contracted vendor to locations such as treatment appointments, visits with family members, 12 step meetings, and other services that are critical to connecting with care and remaining engaged in treatment.