MS SPA 23-0016 All Patient Refined Diagnosis Related Groups (APR-DRG) Reimbursement is being submitted to update the hospital inpatient methodology with an effective date of July 1, 2023. For more information, read the proposed SPA pages. Posted byMatt Westerfield August 16, 2023 0 Share: Related Articles MS SPA 22-0026 Ambulatory Surgical Centers (ASCs) approved by CMS Public Notice for SPA 16-0017 Outpatient Prospective Payment System (OPPS) Update Public Notice for SPA 20-0008 Federally Qualified Health Center (FQHC) Services MS SPA 21-0035 Telehealth approved by CMS CMS approves renewal of Medicaid’s five Home and Community Based Services waivers MS SPA 23-0010 Private Duty Nursing (PDN) Rate Updates approved by CMS