CMS approved State Plan Amendment (SPA) 20-0003 on September 10, 2020. SPA 20-0003 was submitted to update the hospital inpatient payment methodology with an effective date of July 1, 2020. For more information read theĀ approved SPA pages. Posted byMatt Westerfield September 15, 2020 0 Share: Related Articles Back to school health fairs MS SPA 23-0013 Drugs to Treat Obesity submitted to CMS MS SPA 21-0018 Covered Outpatient Drugs submitted to CMS Public Notice for MS SPA 21-0018 Covered Outpatient Drugs CMS approved SPA 20-0019 Community Mental Health Center (CMHC) Emergency Interim Payments CMS approved MS SPA 20-0018 Graduate Medical Education Payments