State Plan Amendment (SPA) 23-0004 is being 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 proposed SPA pages. Posted byKelly Shannon March 9, 2023 0 Share: Related Articles MS SPA 21-0052 Clinical Trial Coverage submitted to CMS MS SPA 19-0020 Graduate Medical Education submitted to CMS MS SPA 23-0011 Copay approved by CMS MS SPA 19-0022 Drug Utilization Review (DUR) Requirements submitted to CMS How to Complete Your Renewal Online Synagis update – March 2023