Behavioral health interventions impact physical health outcomes. While much thought and effort has been given to including behavioral health clinicians in integrated settings, little consideration has been given to how the services they provide are valued as a component of patient care or to how they should be paid. The goals of healthcare reformat the federal level under the Patient Protection and Affordable Care Act (2010) and under many state regulations are to improve the patient access and experience of care, improve the health of populations, and reduce the per capita cost of healthcare (Berwick, Nolan & Whitting- ton, 2008). Health behaviors have a vital impact on health and adherence for acute, chronic and life-threatening physical conditions. (US Burden of Disease Collaborators, 2013). Forty percent of all illness is accounted for by behavioral factors (Mokdad, Marks, Stroup, & Gerberding, 2004). In addition, mental illness has an adverse impact on physical health, workplace productivity, and quality of life. Nonetheless, behavioral health prevention and treatment have been grossly under resourced in the United States. Efforts to describe how stigma impacts the view of the mentally ill and mental health treatment (Satcher, 1999) have helped to improve recognition of the importance of behavioral healthcare in medical settings and nationally. Despite the Mental Health Parity Act of 1996 and the Mental Health Parity and Addiction Equity Act of 2008, behavioral health is still not fully recognized as important to the future of healthcare and to achieve the goals of the Triple Aim (Berwick, 2008).