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 17-0015 Durable Medical Equipment and Medical Supply Reimbursement MS SPA 22-0013 Chiropractor Services submitted to CMS MS SPA 23-0003 Home Health Services submitted to CMS Public Notice for SPA 22-0010 Orthotics and Prosthetics 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