State Plan Amendment (SPA) 22-0010 is being submitted to allow reimbursement rates for orthotics and prosthetics to be updated based on eighty percent (80%) of the Medicare rate. For more information read the submitted SPA pages. Posted byMatt Westerfield September 12, 2022 0 Share: Related Articles MS SPA 24-0014 Diabetic Supplies approved by CMS Public Notice for SPA 17-0002 Pharmacy Reimbursement MS SPA 24-0015 Prescription Drugs approved by CMS MS SPA 21-0037 Christian Science Services approved by CMS MS SPA 22-0011 Physician Services submitted to CMS MS SPA 22-0008 Independent Lab and X-Ray submitted to CMS