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 MS SPA 21-0052 Clinical Trial Coverage submitted to CMS Oral proceeding on Miss. Admin. Code Part 203, Rule 1.11: Global Package Public Notice for Healthier MS Waiver SPA 18-0013 RHC Physician Administered Drugs (PAD) approved by CMS CMS approved SPA 20-0019 Community Mental Health Center (CMHC) Emergency Interim Payments CMS approved MS SPA 20-0018 Graduate Medical Education Payments