Mellie Randall works with the State Opioid Treatment Authorities and on opioid research and technical assistance projects. She has over 30 years of experience in state government, having worked as the Single State Agency Director and National Treatment Network representative for the Virginia Department of Behavioral Health and Developmental Services. She managed the administration of the SAPT Block Grant as well as discretionary grants, led collaborative projects across sectors of state government, and participated in several national projects. She also led efforts to establish access to medication assisted treatment (MAT) in rural Virginia and, with the advent of STR funding, implemented MAT in all 40 of Virginia’s publicly funded behavioral health organizations. Mellie was an integral part of the team that designed, obtained and implemented one of the first CMS SUD waivers.