Telehealth services expanded significantly at OTPs, and we learned that many patients did not have the technology for visual/two-way exchange, leaving them with audio-only opportunities. This experience has also compelled a review of how such services can be incorporated into updated OTP policy. Our Association is renewing its recommendation to have SAMHSA change the ability of OTPs to admit new patients to treatment with methadone via telehealth. This will be especially important to the recommendations that follow.