Expanding the capacity and ability of primary care providers to assess and treat substance use disorders is critical. With support from the Melville Charitable Trust, TAC and the Center for Health Care Strategies conducted interviews with stakeholders to understand how value-based payment (VBP) levers can be used to encourage this type of integration. Drawing from the interviews, this brief examines how states and health plans are exploring VBP to promote SUD treatment in primary care, and offers considerations for implementing these models. (2018)