Skilled Nursing Facilities (SNF)
The skilled nursing facility fee is part of AB 1629 which enacted the Skilled Nursing Facility Quality Assurance Fee (QAF) Program and the Medi-Cal Long Term Care Reimbursement Act. This assembly bill modified the method and rate of reimbursement to facilities for providing long term care skilled nursing services to Medi-Cal beneficiaries. The QAF is based on an annual rate, multiplied by the number of resident days each month. The QAF fees are required for Freestanding Skilled Nursing Facility Level-Bs (FS/NF-B), Freestanding Skilled Adult Subacute Nursing Facilities (FSSA/NF-B) and Freestanding Pediatric Subacute Facilities Level-B (FS PSA/NF-B), except those that are exempt from the quality assurance fee under Health and Safety Code, Section 1324.20(b).
Each skilled nursing facility required to pay the QAF shall pay the QAF to the Department of Health Care Services (DHCS) on a monthly basis. The QAF payment is due on or before the last day of the month following the month in which the fee is imposed.
QAF SNF Payment Forms can be obtained at the following links:
2014-2015 QAF SNF Rates have not been established. Once Rates are established Invoices will be mailed.
Please make sure to enter your facility name, address, Office of Statewide Health Planning and Development (OSHPD) number, and National Provider Identification (NPI) number (where applicable) so that your payment will be credited to the correct account.
More information can be obtained at the following link: Long Term Care Reimbursement AB 1629 Program
Any questions about the QAF payments should be directed to:
Department of Health Care Services
Third Party Liability & Recovery Division
Quality Assurance Fee Program - MS 4720
P.O. Box 997425
Sacramento, CA 95889-7425
(916) 650-0583 Telephone
(916) 440-5671 Fax
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