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 For more information, read the withdrawn SPA pages.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 MS SPA 22-0007 Tribal Consultation submitted to CMS Public notice for State Plan Amendment (SPA) 16-001 Bariatric Surgery MS SPA 23-0028 Hemophilia Coverage approved by CMS Public Notice for SPA 19-0015 Medicare Crossover Payments ATTENTION: All Providers MS SPA 23-0023 Rural Health Clinics (RHC)