State Plan Amendment (SPA) 22-0018 is being submitted to allow the Division of Medicaid (DOM) to update the reimbursement rates for midwife services when applicable. For more information read the submitted SPA pages. Posted byMatt Westerfield September 12, 2022 0 Share: Related Articles MS SPA 20-0009 Third Party Liability submitted to CMS Medicaid beneficiary renewal process changes due to the Affordable Care Act Proposed Family Planning Waiver demonstration extension Medicaid presents fiscal year 2017 budget request to Legislative Budget Office MS SPA 22-0006 Long Term Care was approved by CMS MS SPA 22-0022 EPSDT Extended Services submitted to CMS