MS SPA 23-0016 All Patient Refined Diagnosis Related Groups (APR-DRG) Reimbursement was submitted to update the hospital inpatient methodology with an effective date of July 1, 2023. For more information, read the approved SPA pages. Posted byMatt Westerfield November 14, 2023 0 Share: Related Articles Oral proceeding on Miss. Admin. Code Part 203, Rule 1.11: Global Package Assisted Living (AL) Waiver Renewal Approved by CMS Long Term Care 1915(c) Waiver Provider Orientation Healthier MS Waiver Renewal Application submitted to CMS MS SPA 23-0007 Outpatient Prospective Payment System (OPPS) approved by CMS Public Notice for SPA 23-0025 MYPAC Coverage and Reimbursement