Since 2001, Access Behavioral Health (ABH) has managed the mental health and substance use services for Medicaid recipients and residents of northwest Florida. We have created a network of providers who focus on the core principles of recovery: strengths-based, person-centered, individualized treatment and support for people with mental illness and substance use disorders. Through contracting, monitoring, network management, and quality improvement efforts, we have improved the coordination, integration, and management of service delivery to those with emotional, mental, or addictive disorders.