When you add more lift (like with your bilsteins being on a higher perch), it only changes the spindle side, not the frame side. So the diff, and lower control arm are still in the same spot. The only thing that happened was the CV is now at a greater angle. Now, if you put that spacer in there, you are ONLY moving the inner CV outwards, the outer CV stays in the same place. So now, the CV is actually at an even GREATER angle, and more stress is being put on it (not much, but it is).
The CV's dont have a whole lot of plunge to begin with, so the CV's have to work with the arms in almost an identical motion. So when the LCA drops, yes it does swing towards the frame, but maybe by fractions of an inch, and because the CV plunges inside of the inner CV, it will move towards the frame an inch as well.
Now when you put on that CV spacer, it will no longer follow the same arc that it was designed to, so now the CV might bind during suspension cycle.
Long story short, if it didnt come with the kit. You dont need it.
As for a higher performance CV, you absolutely could, but honestly, I think its not necessary. Our stock CV's hold up quite well. There are 4x4 drag guys putting close to, if not more, than 400hp through them in 4HI, on pavement. If you want more articulation out of them, i would suggest going Long travel or SAS.