Telemedicine can be provided by rural clinics themselves, or by external telemedicine providers to whom a rural clinic refers some or all of its patients with opioid use disorder. Through case examples, the presenters highlight how telemedicine has been used to improve access to initiating and maintaining MOUD in rural communities and share their experiences using telemedicine approaches. The dramatic increase in opioid overdose deaths across the nation, particularly in rural areas, highlights the need for rapid expansion of access to medication treatment for opioid use disorder (MOUD). The Greater Southern California Node (GSCN) of the National Institute on Drug Abuse (NIDA) Clinical Trials Network (CTN), UCLA Integrated Substance Abuse Programs, and Pacific Southwest Addiction Technology Transfer Center (PSATTC), HHS Region 9, presents a four-part series featuring rural clinicians and clinical researchers who will share practical knowledge and skills for improving care for patients with OUD in rural settings. This is the second session of the four-part series.