Living environment is a proven social determinant of health and a key factor in substance use recovery. Recovery housing is often recommended for people seeking intensive outpatient treatment for substance use disorder and has frequently been combined with outpatient treatment by the treatment provider in a format frequently termed “outpatient with lodging”. However, little research has been conducted into a community-based approach to integrating intensive outpatient treatment and independently operated recovery residences. The Center for Practice Transformation (CPT) at the University of Minnesota partnered with one of Minnesota’s largest non-profit substance use treatment providers to investigate the association between living in recovery residences while attending intensive outpatient treatment and recovery outcomes. Results indicate that integrating recovery residences and intensive outpatient programming is associated with improved recovery outcomes.