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 17-0003 Screening, Brief Intervention, and Referral to Treatment (SBIRT) Services Pharmacy reimbursement changes and SPA 17-0002 approval Public Notice for SPA 23-0017 Graduate Medical Education (GME) Payment MS SPA 22-0017 Therapy submitted to CMS How to Complete Your Renewal Online Synagis update – March 2023