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 21-0026 Clinic Services submitted to CMS Sam Atkinson named Deputy Administrator for Accountability and Compliance Medicaid Vital Signs – January-May 2020 MS SPA 21-0030 Hearing Aids 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