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Substance use is a leading cause of pregnancy-related death and adverse birth outcomes. Provider and health systems capacity for treatment are often fragmented or unavailable to pregnant individuals covered by Medicaid and CHIP. This webinar will outline strategies to reduce fragmentation in SUD screening, referral, tracking, and treatment by improving clinical care coordination and integrating behavioral health services and supports. State presentations will feature strategies that engage communities, expand workforce, and promote collaboration collaborating across systems.