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 23-0013 Drugs to Treat Obesity approved by CMS Medicaid aims to increase access to physician-administered drugs MS SPA 22-0026 Ambulatory Surgical Centers (ASCs) approved by CMS Public Notice for SPA 20-0021 Out-of-State Transplant Rates CMS approved SPA 20-0019 Community Mental Health Center (CMHC) Emergency Interim Payments CMS approved MS SPA 20-0018 Graduate Medical Education Payments