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 MS SPA 23-0019 Prescribed Pediatric Extended Care (PPEC) submitted to CMS MS SPA 24-0004 Core Set Reporting submitted to CMS SPA 20-0013 CHIP Benchmark Coverage submitted to CMS MS SPA 22-0033 Nursing Facility Level of Care 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