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 21-0008 Independent Lab and X-ray Services approved by CMS Medicaid’s April Vital Signs Medicaid recovers $8.6 million in fiscal year 2017 IMMEDIATE ACTION REQUIRED: See updated instructions for EDI enrollment and testing MS SPA 22-0011 Physician Services submitted to CMS MS SPA 22-0008 Independent Lab and X-Ray submitted to CMS