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 CHIP SPA 18-0010 Health Services Initiatives approved by CMS DOM to hold fee-for-service provider education webinars Public Notice for SPA 22-0005 COVID Treatment and Complications CMS approved State Plan Amendment (SPA) 20-0004 LTC Cost Report Filings effective April 1, 2020 MS SPA 23-0007 Outpatient Prospective Payment System (OPPS) approved by CMS Public Notice for SPA 23-0025 MYPAC Coverage and Reimbursement