“Medicaid is the single largest payer for mental health services in the United States and is increasingly playing a larger role in the reimbursement of substance use disorder services” (Medicaid. org, 2015). The Affordable Care Act addressed the need to provide care for those suffering from mental health illnesses or substance abuse by introducing Medicaid Expansion. Medicaid Expansion would offer coverage to an additional 30% of uninsured American suffering from mental illness (Nami.org, 2015). Mental health continues to be the “black sheep” of health care. However, when mental health issues are not treated or addressed the issues can become more costly in the long run in terms of ER visits and repeat admissions. However, there remains a