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 Medicaid’s April Vital Signs MS SPA 21-0001 COVID-19 Vaccine Administration Reimbursement Emergency Submission submitted to CMS Medicaid Vital Signs – April 2024 MS SPA 23-0003 Home Health Services submitted to CMS CMS approved SPA 20-0019 Community Mental Health Center (CMHC) Emergency Interim Payments CMS approved MS SPA 20-0018 Graduate Medical Education Payments