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 SPA 19-0005 Home Health Visit Increase submitted to CMS Medicaid Vital Signs – July-September 2024 Recredentialing and Revalidation MS SPA 22-0011 Physician 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