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 For more information, read the withdrawn SPA pages.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 23-0004 Ambulance Mileage approved by CMS SPA 17-0004 Tribal Notification Requirements submitted to CMS Elderly and Disabled (E&D) Waiver Renewal Approved by CMS Public Notice for MS SPA 21-0038 Targeted Case Management (TCM) for Individuals with Intellectual Disabilities (IDD) ATTENTION: All Providers MS SPA 23-0023 Rural Health Clinics (RHC)