State health departments must dedicate staff and time to ensure a consistent approach to HIV and opioid use disorder (OUD) service delivery. For some states, this means creating new staff roles. For others, the best approach consists of developing formal working groups or communities of practice to support learning and teamwork across HIV and behavioral health staff. Both of these options support sustainability. This document describes two states’ approaches to building and supporting an HIV and OUD workforce and includes considerations for investing in a collaborative workforce.

Keywords: HIV, substance use, workforce