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 MS SPA 23-0027 Recovery Audit Contractors (RACs) approved by CMS MS SPA 21-0044 Eyeglasses approved by CMS SPA 19-0013 Outpatient Prospective Payment System (OPPS) Reimbursement has been approved by CMS Public Notice for SPA 24-0007 Rural Emergency Hospitals (REH) CMS approved SPA 20-0019 Community Mental Health Center (CMHC) Emergency Interim Payments CMS approved MS SPA 20-0018 Graduate Medical Education Payments