On June 17, 2019, the Centers for Medicare and Medicaid Services (CMS) approved Missouri’s application to add Certified Community Behavioral Health Organization (CCBHO) services to the state Medicaid plan. Missouri had been participating in the two-year grant-funded federal Certified Community Behavioral Health Clinic (CCBHC) demonstration program, which was to end on June 30, 2019, but was extended to September 30, 2019. Missouri submitted a Medicaid state plan amendment (SPA) to continue operating the CCBHO model. The difference between the CCHBC Demonstration project and the CCBHO SPA is mainly a change in terminology from the word “clinic” to . . .