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 Medicaid announces free housing locator service Independent Living (IL) Waiver Renewal Approved by CMS Steve Stanic named Deputy Administrator and Chief Information Technology Officer Assisted Living (AL) Waiver Renewal 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