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 Public Notice for SPA 20-0001 Durable Medical Equipment (DME) and Medical Supply Reimbursement Inpatient hospital services claims submission instructions Public Notice for SPA 25-0001 Incarcerated Youth Appendix K: Emergency Preparedness and Response for ID/DD waiver submitted to CMS MS SPA 23-0007 Outpatient Prospective Payment System (OPPS) approved by CMS Public Notice for SPA 23-0025 MYPAC Coverage and Reimbursement