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 22-0014 Clinic Services submitted to CMS MS SPA 24-0019 State Governor’s Review submitted to CMS MS SPA 23-0032 Ambulatory Surgical Centers (ASC) Dental Services approved by CMS MS SPA 21-0001 COVID Vaccine Administration Reimbursement Emergency 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