State Plan Amendment (SPA) 23-0022 was submitted to add language detailing the requirement for FQHCs to submit their Medicare cost reports to the Division of Medicaid, effective October 1, 2023. For more information, read the withdrawn SPA pages. Posted byMatt Westerfield January 9, 2024 0 Share: Related Articles MS SPA 22-0015 Family Planning Services approved by CMS Notice for 340B pharmacy providers Hospital inpatient and outpatient alerts MS SPA 21-0010 Other Licensed Practitioner Services submitted to CMS ATTENTION: All Providers MS SPA 23-0023 Rural Health Clinics (RHC)