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 22-0010 Orthotics and Prosthetics Update for Pharmacy Reimbursement SPA 17-0002 Universal preferred drug List delay notice MS SPA 21-0015 Hospital Outpatient 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