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Integrated behavioral health and primary care can improve the health of persons with complex chronic conditions. The Behavioral Health Integration and Complex Care Initiative (BHICCI) implemented integrated care across a large health system. Whether Behavioral Health Organizations (BHOs) and Federally Qualified Health Centers (FQHCs) implemented the BHICCI differently is unclear. The objective of this study was to evaluate integration under the BHICCI and to understand implementation differences between BHOs and FQHCs. We used a convergent parallel mixed-me