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 1915(c) and 1915(i) Home and Community-Based (HCB) Setting Transition Plan Summary and Timeline Assisted Living (AL) Waiver Renewal approved by CMS Extension of deadline to submit EPSDT Provider Agreement Hospital inpatient and outpatient alerts MS SPA 23-0007 Outpatient Prospective Payment System (OPPS) approved by CMS Public Notice for SPA 23-0025 MYPAC Coverage and Reimbursement