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 the approved SPA pages. Posted byMatt Westerfield September 15, 2020 0 Share: Related Articles Procedure Code PA Requirement Medicaid Vital Signs – July-September 2024 Public Notice for SPA 22-0018 Midwife Services MS SPA 21-0022 Transportation Services 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