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 21-0046 MSCAN Procurement Method approved by CMS Medicaid workshops set to educate beneficiaries Public Notice for SPA 21-0048 Medication Assisted Treatment (MAT) Services Public Notice for SPA 18-0002 Physician Upper Payment Limit CMS approved SPA 20-0019 Community Mental Health Center (CMHC) Emergency Interim Payments CMS approved MS SPA 20-0018 Graduate Medical Education Payments