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 20-0021 Out-of-State Transplant Rates submitted to CMS MS SPA 24-0001 End-Stage Renal Disease (ESRD) Services submitted to CMS Public Notice for SPA 22-0009 Other Licensed Practitioners Public Notice for SPA 23-0019 Prescribed Pediatric Extended Care MS SPA 23-0007 Outpatient Prospective Payment System (OPPS) approved by CMS Public Notice for SPA 23-0025 MYPAC Coverage and Reimbursement