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 CHIP SPA 18-0010 Health Services Initiatives approved by CMS CMS approved MS SPA 20-0005 Physician Administered Drugs Public Notice for MS SPA 21-0014 Targeted Case Management for High-Risk Pregnant Women Public Notice for SPA 22-0026 Ambulatory Surgical Center (ASC) 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