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 Public Notice for SPA 18-0013 Rural Health Clinic (RHC) Physician Administered Drugs MS SPA 21-0008 Independent Lab and X-ray Services submitted to CMS SPA 18-0005 Long-Term Care (LTC) Updates #2 MS SPA 22-0006 Long-Term Care 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