On October 21, 2019, the Michigan Department of Health and Human Services (MDHHS) announced that it canceled plans for pilots to integrate Medicaid behavioral health specialty services and physical health services. The state, the health maintenance organizations (HMOs) for physical health services, and the regional behavioral health authorities were unable to reach an agreement on the financial model. MDHHS still intends to pursue improvements and changes to the Medicaid system that will promote physical and behavioral health integration. MDHHS Director Robert Gordon said, “These pilots were supposed to be built on agreement among all participants. After years of work to . . .