Subacute Care Facilities

Adult Subacute Care

Subacute care providers are grouped into two statewide peer groups, one being hospital-based providers, and the other being freestanding nursing facility providers. These peer groups are further broken down into ventilator and non-ventilator-patient reimbursement categories. Providers comprising both peer groups are reimbursed their projected costs up to the median, regardless of whether reimbursement is for ventilator or non-ventilator patients.

DP/SA reimbursement will shift from an August to July rate year basis to a calendar rate year basis, effective January 1, 2024, pending federal approval in State Plan Amendment 23-0032.

CY 2026 Rates

CY 2026 Rates Studies Public Review Draft

The below document contains preliminary modeling DP/SA CY 2026 rates in accordance with the Medi-Cal Long-Term Care Reimbursement Act (Welfare & Institutions Code Section 14105) and the California Medicaid State Plan (Attachment 4.19-D). Please see the disclaimer included in each document. This draft does not update the Medi-Cal rate on file and is not intended for payment purposes or any other use. Final CY 2026 rates may materially differ from this modeling based on changes on corrections to underlying data, changes necessary to obtain federal approval, and other changes deemed appropriate in DHCS's sole discretion. DHCS requests any comments or feedback no later than October 17, 2025. For any questions or comments, please email LTCReimbursement@dhcs.ca.gov with the subject line “CY 2026 Rates Public Review Draft”.