State Plan Amendment (SPA) 22-0014 is being submitted to allow the encounter rate for clinic services provided by the Mississippi Department of Health clinics to be updated July of each year. For more information read the submitted SPA pages. Posted byMatt Westerfield September 12, 2022 0 Share: Related Articles Public Notice for 1915(c) Independent Living (IL) Waiver MS SPA 19-0020 Graduate Medical Education submitted to CMS MS SPA 20-0003 All Patient Refined Diagnosis Related Groups (APR-DRG) Reimbursement submitted to CMS SPA 19-0013 OPPS Reimbursement submitted to CMS MS SPA 22-0015 Family Planning Services submitted to CMS MS SPA 22-0013 Chiropractor Services submitted to CMS