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 SPA 18-0010 Transportation approved by CMS MS SPA 20-0007 Rural Health Center (RHC) Services submitted to CMS MS SPA 23-0013 Drugs to Treat Obesity approved by CMS Billing notice regarding newborn babies of mother in MississippiCAN CMS approved SPA 20-0019 Community Mental Health Center (CMHC) Emergency Interim Payments CMS approved MS SPA 20-0018 Graduate Medical Education Payments