MS SPA 23-0016 All Patient Refined Diagnosis Related Groups (APR-DRG) Reimbursement was submitted to update the hospital inpatient methodology with an effective date of July 1, 2023. For more information, read the approved SPA pages. Posted byMatt Westerfield November 14, 2023 0 Share: Related Articles MS SPA 22-0002 End-Stage Renal Disease (ESRD) Immunizations submitted to CMS MS SPA 22-0001 COVID Testing approved by CMS Public Notice for the HMW Post-Award Forum MS SPA 21-0021 Extended Services for Pregnant Women approved by CMS MS SPA 23-0007 Outpatient Prospective Payment System (OPPS) approved by CMS Public Notice for SPA 23-0025 MYPAC Coverage and Reimbursement