Adult greater than or equal to 18 years of age

Admitted to Harborview Medical Center (HMC) on any inpatient service

Initiated on buprenorphine for OUD while in the hospital or at the time of discharge and planning to continue outpatient

Used methamphetamine within the past 30 days (any route of administration or frequency)

Willing to be randomized to video-DOT

Willing and able to use a smartphone (study can provide) and work with patient navigator

Discharge setting does not preclude the use of video-DOT (i.e., nursing home, inpatient psychiatry, etc.)

MHealth Incentivized Adherence Plus Patient Navigation