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 MS SPA 20-0021 Out-of-State Transplant Rates submitted to CMS Electronic health records exchange win-win for UMMC, Medicaid patients Public Notice for SPA 20-0003 All Patient Refined Diagnosis Related Groups (APR-DRG) Reimbursement Public Notice for 1915(c) Intellectual Disabilities/Developmental Disabilities (ID/DD) Waiver Renewal MS SPA 23-0006 One-Time Hospital Payment approved by CMS MS SPA 23-0009 Early Intervention Case Manager submitted to CMS