MS SPA 23-0016 All Patient Refined Diagnosis Related Groups (APR-DRG) Reimbursement is being submitted to update the hospital inpatient methodology with an effective date of July 1, 2023. For more information, read the proposed SPA pages. Posted byMatt Westerfield August 16, 2023 0 Share: Related Articles SPA 18-0020 Physician Visit Limit Increase approved by CMS SPA 17-0015 DME and Medical Supply Reimbursement submitted to CMS MS SPA 23-0012 Emergency Transportation submitted to CMS SPA 18-0013 RHC Physician Administered Drugs (PAD) approved by CMS CMS approves renewal of Medicaid’s five Home and Community Based Services waivers MS SPA 23-0010 Private Duty Nursing (PDN) Rate Updates approved by CMS