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 Public Notice for SPA 23-0006 One-Time Hospital Payment MS SPA 23-0005 Former Foster Care Eligibility submitted to CMS MS SPA 23-0017 Graduate Medical Education (GME) approved by CMS MS SPA 22-0001 COVID Testing 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