The Elderly and Disabled (E&D) Waiver amendment was approved by Centers for Medicare and Medicaid Services (CMS), Effective October 1, 2019. For more information read the approved Waiver amendment. Posted byMatt Westerfield December 4, 2019 0 Share: Related Articles CMS approved MS SPA 20-0018 Graduate Medical Education Payments SPA 18-0002 Physician UPL submitted to CMS Synagis update – March 2023 Medicaid urges members to update their contact information before renewals begin April 1 MS SPA 19-0022 Drug Utilization Review (DUR) Requirements submitted to CMS CHIP SPA 18-0010 Health Services Initiatives approved by CMS