State Plan Amendment (SPA) 22-0018 is being submitted to allow the Division of Medicaid (DOM) to update the reimbursement rates for midwife services when applicable. For more information read the submitted SPA pages. Posted byMatt Westerfield September 12, 2022 0 Share: Related Articles Public Notice for MS SPA 21-0036 Respiratory Care for EPSDT Beneficiaries MS SPA 22-0024 Recovery Audit Contractors (RAC) approved by CMS MS SPA 23-0003 Home Health Services approved by CMS MS SPA 23-0006 One-Time Hospital Payment submitted to CMS MS SPA 22-0006 Long Term Care was approved by CMS MS SPA 22-0022 EPSDT Extended Services submitted to CMS