State Plan Amendment (SPA) 23-0022 was submitted to add language detailing the requirement for FQHCs to submit their Medicare cost reports to the Division of Medicaid, effective October 1, 2023. For more information, read the withdrawn SPA pages. Posted byMatt Westerfield January 9, 2024 0 Share: Related Articles Public Notice for MS SPA 23-0029 Hospital Upper Payment Limit (UPL) CMS approved MS SPA 20-0013-CHIP Benchmark Coverage effective November 1, 2019 Pharmacy reimbursement changes and SPA 17-0002 approval MS SPA 21-0014 Targeted Case Management for High-Risk Pregnant Women submitted to CMS ATTENTION: All Providers MS SPA 23-0023 Rural Health Clinics (RHC)