Medi-Cal Long-Term Care Reimbursement
The California Department of Health Care Services (DHCS) Fee For Service Rates Development Division establishes Medi-Cal reimbursement rates for the following long-term care (LTC) facilities:
The Medi-Cal LTC reimbursement rates are established under the authority of Title XIX of the federal Social Security Act. The specific methodologies are described in the California State Plan, Attachment 4.19-D.
Distinct Part Facility SB 525 Health Care Worker Minimum Wage Survey
DHCS is surveying DP/NFs, DP/SAs, and DP/PSAs on wages provided to employees. Facilities are required to submit survey responses no later than December 9, 2024. Data collected in this survey will be utilized by DHCS in the Medi-Cal ratesetting process to reimburse providers for the projected impact of the Health Care Worker Minimum Wage established by Senate Bill (SB) 525 (Chapter 890, Statutes of 2023) in accordance with applicable provisions of the California Medicaid State Plan.
Workforce Standards Program
The Workforce Standards Program (WSP) for FS/NF-B and FS/SA facilities is now live. Please visit the WSP website for more information.
CalAIM Long-Term Care Carve-In Transition
Under CalAIM, Medi-Cal managed care plans (MCPs) will cover and coordinate Medi-Cal institutional LTC in all counties in 2023 in a phased approach by facility type.
Detailed information about the transition can be found on the CalAIM Long Term Care Carve-In Transition webpage.
Please see the following All Plan Letters for requirements applying to MCPs:
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