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 24-0003 Physician Upper Payment Limit (UPL) Notice of Oral Proceeding Public Notice for MS SPA 21-0033 Therapy Services Public Notice for MS SPA 21-0022 Transportation Services MS SPA 23-0007 Outpatient Prospective Payment System (OPPS) approved by CMS Public Notice for SPA 23-0025 MYPAC Coverage and Reimbursement