State Plan Amendment (SPA) 23-0004 was submitted to add reimbursement for emergency ambulances for the initial twenty-five (25) miles at a rate of $.01 per mile, effective February 1, 2023. For more information read the approved SPA pages. Posted byMatt Westerfield May 12, 2023 0 Share: Related Articles Public Notice for SPA 22-0019 Preventive Services Vaccines MS SPA 22-0007 Tribal Consultation approved by CMS Reminder: New CHIP contracts to take effect November 1, 2019 Governor declared disaster – Rx billing directions MS SPA 23-0006 One-Time Hospital Payment approved by CMS MS SPA 23-0009 Early Intervention Case Manager submitted to CMS