State Plan Amendment (SPA) 23-0011 was submitted to allow the Division of Medicaid (DOM) to remove copays from Medicaid services effective May 1, 2023. For more information, read the approved SPA pages. Posted byKelly Shannon August 18, 2023 0 Share: Related Articles CMS approved State Plan Amendment (SPA) 20-0011 COVID-19 Cost Sharing Waiver effective March 1, 2020 SPA 18-0013 Rural Health Clinic (RHC) Physician Administered Drugs (PAD) Public Notice for MS SPA 21-0032 Dental and Orthodontic Services Clarification of swing-bed hospital services reimbursement Medicaid Vital Signs – April-June 2023 CMS approves renewal of Medicaid’s five Home and Community Based Services waivers