A recent report from the Agency of Healthcare Research and Quality highlights factors related to medication assisted treatment for opioid use disorder in rural primary care settings. Implementing Medication-Assisted Treatment for Opioid Use Disorder in Rural Primary Care: Environmental Scan presents three main findings from a literature review of scientific and grey literature: models of care, tools and resources and challenges and barriers. This literature search revealed three promising models of care and the characteristics that these models share. This report also contains a variety of tools to help rural providers implement medication-assisted treatment. In addition, the literature revealed ongoing challenges and barriers to the implementation of medication-assisted treatment. These include a shortage of healthcare providers in rural areas who can prescribe treatment, stigma associated with opioid use disorder and an ongoing need for recovery support.