Distinct Part Nursing Facilities, Level B (DP/NF-B)
The facilities comprising this category are distinct parts of acute care hospitals and are paid a rate set at the lower of the individual facility’s projected cost or the median projected cost for the category. Facilities with less than 20 percent Medi-Cal utilization are excluded from the establishment of the median projected cost.
DP/NF-B reimbursement will shift from an August to July rate year basis to a calendar rate year basis, effective January 1, 2024, as approved in State Plan Amendment 23-0032.
CY 2026 Rates
CY 2026 Rate Study
The document contains the final model for DPNF-B 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).
CY 2026 Rates Policy Letter
CY 2026 Published Rates on File
CY 2025 Rate Study
CY 2025 & CY 2024 Rates on File
- CY 2025 DP/NF-B Rates – Effective 1/1/2025 – 12/31/2025 (Published 3/25/2026)
- CY 2024 DP/NF-B Rates – Effective 2/1/2024 – 12/31/2024 (National Codes)
- CY 2024 DP/NF-B Rates – Effective 1/1/2024 – 1/31/2024 (Accommodation Codes)
State operated facilities shall be reimbursed their costs as reflected in their cost reports, in accordance with the provisions of the California Medicaid State Plan, Attachment 4.19-D, using individual audit data for adjustments. These costs are not to be included in the calculation of the class median rate for all other DP/NF-B facilities.
Related pages:
Rural Swing Bed
Administrative Day
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