Transitioning from a primary care behavioral health model (PCBH) into integrated specialty care can be daunting! During this presentation you will learn the ACTUAL HOW from our Integrated Care team who expanded into four specialty care clinics: Neuroscience, OB/GYN, Endocrinology, and Pediatric Medical Specialties. The service expansion is based upon the PCBH model of care (Reiter et al., 2018; Robinson & Reiter, 2016), in which behavioral health consultants (BHCs) are providing episodic and focused interventions and working as part of the specialty health care team. This session will be practical heavy: how we got started, the questions we asked, tools we used, and how we supported BHCs in this transition. You will get to hear straight from our BHCs who will share their actual experiences: both the amazing and the awful. Finally, we will discuss future directions – expansions into other specialty settings and how we plan to evaluate our model – and how you can do this work, too!