The Centers for Medicare ad Medicaid Services (CMS) has approved the Independent Living Waiver effective July 1, 2017. Posted byMatt Westerfield August 14, 2017 0 Share: Related Articles Public Notice for State Plan Amendment (SPA) 15-008 All Patient Refined Diagnosis Related Groups (APR-DRG) MS SPA 20-0002 Private Duty Nursing (PDN) and Personal Care Services (PCS) submitted to CMS Pharmacy reimbursement: Revised reprocessing schedule MS SPA 22-0028 Private Duty Nursing (PDN) and Prescribed Pediatric Extended Care (PPEC) Services approved by CMS Elderly and Disabled Waiver approved NET End Stage Renal Disease RFP #20170512-1 proposal and award information