State Plan Amendment (SPA) 23-0023 was submitted to add language detailing the requirement for RHCs 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 For more information, read the withdrawn SPA pages.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) Assisted Living Waiver Renewal Submitted to CMS Pharmacy price freeze update: reprocessing MS SPA 23-0019 Prescribed Pediatric Extended Care (PPEC) approved by CMS MS SPA 23-0022 Federally Qualified Health Clinics (FQHC) Medicaid Vital Signs – July-September 2023