Project I Test: Implementing HIV Testing in Opioid Treatment Programs

Inclusion Criteria: * Eligible sites must: 1. See at least 150 unduplicated patients/year/site 2. Be capable and willing to prospectively collect data on the number of patients who a) are offered any HIV and/or HCV tests; b) completed these tests; c) are referred to care/evaluation (and type of referral) if positive; and d) are linked to care/evaluation within 30 days of diagnosis 3. Be capable and willing to provide patient demographics, testing data within demographic categories of gender and race/ethnicity (in aggregate) and data on HIV/HCV test reimbursement processes and outcomes 4. Have key staff willing to consent to participate in study surveys, qualitative interviews and intervention coaching throughout the study Exclusion Criteria: * Sites will be excluded if: 1. Over 50% of patients served in the prior 6 months were HIV or HCV tested 2. They are terminated via PI decision/discretion