State Plan Amendment (SPA) 23-0004 was submitted to add reimbursement for emergency ambulances for the initial twenty-five (25) miles at a rate of $.01 per mile, effective February 1, 2023. For more information read the approved SPA pages. Posted byMatt Westerfield May 12, 2023 0 Share: Related Articles Pharmacy prior authorization to transition to new vendor Elderly and Disabled (E&D) Waiver Renewal Submitted to CMS MS SPA 21-0040 Targeted Case Management (TCM) for the Chronically Mentally Ill (CMI) submitted to CMS Amended Public Notice for SPA 21-0051 Disproportionate Share Hospital (DSH) Payment Update MS SPA 23-0006 One-Time Hospital Payment approved by CMS MS SPA 23-0009 Early Intervention Case Manager submitted to CMS