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 Public Notice for SPA 23-0016 All Patient Refined Diagnosis Related Groups (APR-DRG) Reimbursement Public Notice for SPA 22-0011 Physician Services MS SPA 21-0013 Ambulatory Surgical Center submitted to CMS Public Notice for SPA 19-0019 Graduate Medical Education (GME) MS SPA 19-0022 Drug Utilization Review (DUR) Requirements submitted to CMS CHIP SPA 18-0010 Health Services Initiatives approved by CMS