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 22-0016 Dental and Orthodontic Services submitted to CMS MS SPA 20-0016 Emergency Ground Ambulance Reimbursement submitted to CMS MS SPA 22-0014 Clinic Services submitted to CMS DOM fosters strong ties with Choctaw Health Center CMS approved SPA 20-0019 Community Mental Health Center (CMHC) Emergency Interim Payments CMS approved MS SPA 20-0018 Graduate Medical Education Payments