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 21-0010 Other Licensed Practitioners approved by CMS MS SPA 23-0021 Community Mental Health Services Rate Update ID/DD 1915(c) Waiver Renewal submitted to CMS MS SPA 21-0038 Targeted Case Management (TCM) for Individuals with Intellectual Disabilities (IDD) 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