State Plan Amendment (SPA) 23-0011 is being submitted to allow the Division of Medicaid (DOM) to remove copays from Medicaid services, effective May 1, 2023. For more information, read the proposed SPA pages. Posted byMatt Westerfield June 20, 2023 0 Share: Related Articles SPA 18-0007 OPPS Reimbursement submitted to CMS MS SPA 24-0001 End-Stage Renal Disease (ESRD) Services submitted to CMS Sign up to receive notifications for changes to the State Plan, Administrative Code, and Waivers Public Notice for SPA 20-0013 Vaccines MS SPA 23-0010 Private Duty Nursing (PDN) Rate Updates submitted to CMS MS SPA 23-0019 Prescribed Pediatric Extended Care (PPEC) submitted to CMS