The Department of Mental Health (DMH) transitioned into a new mental health payment model as of January 1, 2019. Mental Health Payment Reform has represented a large operational and cultural shift towards focusing on how well the public mental health system is doing rather than simply how much it is doing. The shift has given agencies more flexibility with funding to meet the needs of the children, youth, adults, and families they serve. By simplifying the baseline payment structures and adding Value-Based Payments that reward outcomes and incentivize best practices, DMH continues to aim to make it easier for mental health providers to meet the goal of efficient and effective care for Vermonters with mental health needs.