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 21-0009 Podiatry Services approved by CMS MS SPA 22-0018 Midwife Services submitted to CMS Medicaid’s June Vital Signs Medicaid to implement single Pharmacy Benefit Administrator July 1, 2024 MS SPA 23-0007 Outpatient Prospective Payment System (OPPS) approved by CMS Public Notice for SPA 23-0025 MYPAC Coverage and Reimbursement