Long Term Care Reimbursement AB 1629

The Rate Branch established the Long-Term Care System Development Unit (LTCSDU) in 2002. Unit staff research, develop, implement, and as appropriate, administer and oversee programs set forth in law that affect Medi-Cal reimbursement rates. The LTCSDU has responsibility for the programs listed below.

Long-Term Care Skilled Nursing Facility Quality Assurance Fee and Facility-Specific Reimbursement Methodology:

Assembly Bill (AB) 1629 (Chapter 875, Statutes of 2004) enacted the Skilled Nursing Facility Quality Assurance Fee (QAF) Program and the Medi-Cal Long Term Care Reimbursement Act. AB 1629 modified the method and rate of reimbursement to facilities for providing long-term care skilled nursing services to Medi-Cal beneficiaries. 

(See Health & Safety Code Sections 1324.20-1324.30, 1418.81 and amended Welfare and Institutions Code Sections  14105.06, 14126-14126.035)

For questions, comments, or concerns, please e-mail us at ab1629@dhcs.ca.gov or leave a voice message at (916) 552-8613.  

AB 1629 QAF Payment Invoices: Please remit your payment along with the completed QAF Payment Invoice to the Department of Health Care Services. The address is located on the top left hand corner of each payment invoice.  The payment invoice should be for the same time period as your payment. DO NOT CHANGE the pre-printed information on the payment invoice.  Facilities should make their check or money order payable to "Department of Health Care Services" and also include your Medi-Cal Provider Number or OSHPD ID Number on the check.  Please submit the QAF Payment Invoice with an original signature.