Freestanding Pediatric Subacute
Freestanding Pediatric Subacute (FS/PSA) 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 23-0028.
CY 2027 Rates
CY 2027 Rate Study
- FS/PSA CY 2027 Rate Study (Updated 10/30/2026)
The above document contains the final model FS/PSA CY 2027 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 2027 Rates Policy Letter
2027 Rates (Updated 10/30/2026)
Effective 1/1/2027 through 12/31/2027
| Service Type | Value Code | Value Code Amount | Revenue Code | Per Diem |
|---|---|---|---|---|
| Rehab Therapy | 24 | 97 | 0199 | $100.21 |
| Vent Weaning | 24 | 98 | 0199 | $93.43 |
| Ventilator | 24 | 91 | 0190 | $1507.24 |
| Non-Ventilator | 24 | 92 | 0190 | $1380.96 |
Bed Hold/Leave of Absence Rates – Effective 1/1/2027 through 12/31/2027
| Service Type | Value Code | Value Code Amount | Revenue Code | Bed Hold / Leave of Absence Per Diem |
|---|---|---|---|---|
| Ventilator | 24 | 93 | 0185 | $1496.79 |
| Non-Ventilator | 24 | 94 | 0185 | $1370.51 |
| Ventilator | 24 | 95 | 0180 | $1496.79 |
| Non-Ventilator | 24 | 96 | 0180 | $1370.51 |
Notes:
- The 2027 Calendar Year bed hold amount is $10.45.
CY 2026 Rates
CY 2026 Rate Study
The document below contains the final model FS/PSA 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
2026 Rates (Updated 10/31/2025)
Effective 1/1/2026 through 12/31/2026
| Service Type | Value Code | Value Code Amount | Revenue Code | Per Diem |
|---|---|---|---|---|
| Rehab Therapy | 24 | 97 | 0199 | $98.42 |
| Vent Weaning | 24 | 98 | 0199 | $91.76 |
| Ventilator | 24 | 91 | 0190 | $1,439.37 |
| Non-Ventilator | 24 | 92 | 0190 | $1,317.42 |
Bed Hold/Leave of Absence Rates – Effective 1/1/2026 through 12/31/2026
| Service Type | Value Code | Value Code Amount | Revenue Code | Bed Hold / Leave of Absence Per Diem |
|---|---|---|---|---|
| Ventilator | 24 | 93 | 0185 | $1,429.42 |
| Non-Ventilator | 24 | 94 | 0185 | $1,307.47 |
| Ventilator | 24 | 95 | 0180 | $1,429.42 |
| Non-Ventilator | 24 | 96 | 0180 | $1,307.47 |
Notes:
- The 2026 Calendar Year bed hold amount is $9.95.
2025 Rates (Updated 3/4/2025)
Effective 1/1/2025 through 12/31/2025
| Service Type | Value Code | Value Code Amount | Revenue Code | Per Diem |
|---|---|---|---|---|
| Rehab Therapy | 24 | 97 | 0199 | $94.23 |
| Vent Weaning | 24 | 98 | 0199 | $87.86 |
| Ventilator | 24 | 91 | 0190 | $1,353.10 |
| Non-Ventilator | 24 | 92 | 0190 | $1,234.74 |
Bed Hold/Leave of Absence Rates – Effective 1/1/2025 through 12/31/2025
| Service Type | Value Code | Value Code Amount | Revenue Code | Bed Hold / Leave of Absence Per Diem |
|---|---|---|---|---|
| Ventilator | 24 | 93 | 0185 | $1,343.33 |
| Non-Ventilator | 24 | 94 | 0185 | $1,224.97 |
| Ventilator | 24 | 95 | 0180 | $1,343.33 |
| Non-Ventilator | 24 | 96 | 0180 | $1,224.97 |
Notes:
- The 2025 Calendar Year bed hold amount is $9.77.
Helpful Links
Freestanding Skilled Nursing Facilities and Subacute Units (ca.gov)
Contact Us
Please send questions regarding FS/PSA rates to LTCReimbursement@dhcs.ca.gov