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 Qualified providers may receive increased primary care services payments Public Notice for 1915(c) Assisted Living (AL) Waiver Renewal MS SPA 21-0013 Ambulatory Surgical Center submitted to CMS MS SPA 21-0034 Midwife Services submitted to 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