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 Synagis® 2022 off-season prior authorization form Public Notice for SPA 23-0007 Outpatient Prospective Payment System (OPPS) Public Notice for SPA 16-0020 Autism Spectrum Disorder (ASD) Services Family Planning Waiver demonstration extension request approved by CMS MS SPA 23-0006 One-Time Hospital Payment approved by CMS MS SPA 23-0009 Early Intervention Case Manager submitted to CMS