On August 28, 2019, Nevada submitted a Medicaid state plan amendment (SPA) to transition its Certified Community Behavioral Health Centers (CCBHCs) to become a Medicaid provider organization type. On July 16, 2019, the Nevada Department of Health and Human Services (DHHS) issued the proposed SPA documents. A public hearing was scheduled for August 27, 2019. After the Centers for Medicare & Medicaid Services (CMS) approves the SPA, Nevada's goal is to develop a directed payment in cooperation with CMS for the CCBHCs and incorporate the directed payment into the rates and contract in or after 2021. Once this goal . . .