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 Assisted Living (AL) Waiver Renewal Approved by CMS MS SPA 21-0038 Targeted Case Management (TCM)for Individuals with Intellectual Disabilities (IDD) submitted to CMS MS SPA 19-0014 Utilization Review (UR) in ICF/IIDs submitted to CMS SPA 19-0011 PASRR in Nursing Facilities submitted to CMS CMS approved SPA 20-0019 Community Mental Health Center (CMHC) Emergency Interim Payments CMS approved MS SPA 20-0018 Graduate Medical Education Payments