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 Independent Living (IL) Waiver Renewal Approved by CMS MS SPA 24-0001 End-Stage Renal Disease (ESRD) Services approved by CMS Free educational seminar about Civil Money Penalty grants Pharmacy prior authorization to transition to new vendor CMS approved SPA 20-0019 Community Mental Health Center (CMHC) Emergency Interim Payments CMS approved MS SPA 20-0018 Graduate Medical Education Payments