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 Medicaid increases reimbursement for emergency ground ambulance services MS SPA 23-0017 Graduate Medical Education (GME) submitted to CMS Public Notice for SPA 19-0023 Private Duty Nursing (PDN) Medicaid EASE Initiative aims to improve access to needed services 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