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 hearing scheduled for the Independent Living Waiver renewal Appendix K: Emergency Preparedness and Response for ID/DD waiver submitted to CMS Public Notice for SPA 20-0006 Autism Spectrum Disorder (ASD) Reimbursement Public Notice for SPA 23-0025 MYPAC Coverage and Reimbursement MS SPA 23-0006 One-Time Hospital Payment approved by CMS MS SPA 23-0009 Early Intervention Case Manager submitted to CMS