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 Public Notice for SPA 22-0028 Emergency Private Duty Nursing (PDN) and Prescribed Pediatric Extended Care (PPEC) Services Public Notice for SPA 16-0020 Autism Spectrum Disorder (ASD) Services Guidance for providing concurrent services for both hospice and home and community-based waiver services MS SPA 23-0021 Community Mental Health Services Rate Update approved by CMS How to Complete Your Renewal Online Synagis update – March 2023