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 Medicaid’s February Vital Signs MS SPA 22-0024 Recovery Audit Contractors (RAC) approved by CMS Public Notice for SPA 19-0015 Medicare Crossover Payments Public Notice for MS SPA 21-0035 Telehealth Services MS SPA 23-0007 Outpatient Prospective Payment System (OPPS) approved by CMS Public Notice for SPA 23-0025 MYPAC Coverage and Reimbursement