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 Notice of Oral Proceeding MS SPA 23-0027 Recovery Audit Contractors (RACs) approved by CMS Public Notice for MS SPA 21-0028 Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Extended Services CMS approved State Plan Amendment (SPA) 20-0015 Telehealth Emergency Template effective March 1, 2020 MS SPA 23-0007 Outpatient Prospective Payment System (OPPS) approved by CMS Public Notice for SPA 23-0025 MYPAC Coverage and Reimbursement