Yedinak JL, Goedel WC, Paull K, et al. - In this community-driven, statewide cross-sectional assessment, a group of stakeholders—local experts on opioid use and its consequences, leaders from state agencies governing health and social services, directors of non-governmental organizations giving health and social services to individuals living with opioid use disorder (OUD), and community advocates with lived experiences of OUD and recovery were engaged in order to adapt and establish a cascade of care for OUD for use in Rhode Island. Findings designated that for individuals with OUD, cross-sectional summaries of the cascade of care for OUD could be used as a health policy tool to distinguish gaps in care, notify data-driven policy decisions, establish benchmarks for quality, and enhance health outcomes. An important opportunity to enhance engagement former to the beginning of OUD treatment (ie, identification of OUD symptoms through routine screening or acute presentation) and enhance retention and remission from OUD symptoms via improved community-supported processes of recovery was noted. Thus, to do this more accurately and to improve system-level interventions and maximize engagement in care, states should work to systematically obtain data to populate their own cascade of care as a health policy tool.