As of 2020, 12 states, including New York, were pursuing joint state-federal Delivery System Reform Incentive Payment (DSRIP) contracts to incorporate value-based payment into their Medicaid programs. Historically, Medicaid beneficiaries with mental health diagnoses experience worse health outcomes than the general Medicaid population. New York’s DSRIP program included 25 provider networks and each was required to implement at least one value-based payment program for behavioral health services.