State Plan Amendment 18-0005 Posted for Public Notice November 9, 2018 By Amy McLemore The LEA SPA (State Plan Amendment 18-0005) to expand access to school-based health services has been posted for 10-day public notice to the  as required prior to submission to the Centers for Medicare and Medicaid Services (CMS). Filed Under: Categories: Uncategorized More from NC School-Based Occupational Therapy 70th Conference on Exceptional Children and Institutes Hope for Healers Extended for School Staff Thank you – Supporting Teaching and Related Services Section