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 Initial Approval Granted for the 1915(c) and 1915(i) Home and Community-Based (HCB) Setting Transition Plan Provider webinars set for November, December Public Notice for SPA 17-0002 Pharmacy Reimbursement MS SPA 20-0002 Private Duty Nursing (PDN) and Personal Care Services (PCS) submitted to CMS MS SPA 23-0018 1915i Community Support Program (CSP) approved by CMS MS SPA 23-0027 Recovery Audit Contractors (RACs) submitted to CMS