State Plan Amendment (SPA) 23-0013 Drugs to Treat Obesity was submitted to add coverage for selected drugs that treat obesity, effective July 1, 2023. For more information, read the approved SPA pages. Posted byMatt Westerfield September 18, 2023 0 Share: Related Articles CMS approved MS SPA 20-0002 Private Duty Nursing (PDN) and Personal Care Services (PCS) Public Notice for SPA 17-0015 Durable Medical Equipment and Medical Supply Reimbursement Public Notice for MS SPA 21-0008 Independent Lab and X-ray Services MS SPA 22-0018 Midwife Services approved by CMS MS SPA 23-0018 1915i Community Support Program (CSP) approved by CMS MS SPA 23-0027 Recovery Audit Contractors (RACs) submitted to CMS