State Plan Amendment (SPA) 23-0011 is being submitted to allow the Division of Medicaid (DOM) to remove copays from Medicaid services, effective May 1, 2023. For more information, read the proposed SPA pages. Posted byMatt Westerfield June 20, 2023 0 Share: Related Articles Public Notice for SPA 18-0007 Outpatient Prospective Payment System (OPPS) Reimbursement MS SPA 23-CHIP-0015 for Coverage Required by the American Rescue Plan Act Public Notice for the HMW Post-Award Forum SPA 19-0020 All Patient Refined-Diagnosis Related Groups (APR-DRG) Reimbursement has been approved by CMS MS SPA 23-0010 Private Duty Nursing (PDN) Rate Updates submitted to CMS MS SPA 23-0019 Prescribed Pediatric Extended Care (PPEC) submitted to CMS