Distinct Part Pediatric Subacute
DP/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 23-0032.
CY 2026 Tus nqi
CY 2026 Rate Study
Cov ntaub ntawv hauv qab no muaj cov qauv kawg rau DP/PSA CY 2026 tus nqi raws li Medi-Cal Cov Nyiaj Them Nqi Kho Mob Ntev Ntev (Welfare & Institutions Code Section 14105) thiab California Medicaid State Plan (Attachment 4.19-D).
CY 2026 Tus Nqi Txoj Cai Tsab Ntawv
2026 Tus Nqi (Hloov kho 10/31/2025)
Pib txij 1/1/2026 txog 12/31/2026
| Hom kev pabcuam | Tus nqi Code | Tus nqi Code Tus nqi | Revenue Code | Per Diem |
|---|---|---|---|---|
| Rehab Therapy | 24 | 83 | 0199 | $ 93.34 |
| Vent Weaning | 24 | 84 | 0199 | $ 87.01 |
| Lub tshuab ua pa | 24 | 85 | 0190 | $ 1,552.61 |
| Tsis-Ventilator | 24 | 86 | 0190 | $ 1,429.67 |
Bed Hold/Leave of Absence Rates – Effective 1/1/2026 through 12/31/2026
| Hom kev pabcuam | Tus nqi Code | Tus nqi Code Tus nqi | Revenue Code | Txuag Txiaj Ntsig/Ntawm Kev Tsis Nyob Ib Diem |
|---|---|---|---|---|
| Lub tshuab ua pa | 24 | 87 | 0185 | $ 1,542.66 |
| Tsis-Ventilator | 24 | 88 | 0185 | $ 1,419.72 |
| Lub tshuab ua pa | 24 | 89 | 0180 | $ 1,542.66 |
| Tsis-Ventilator | 24 | 90 | 0180 | $ 1,419.72 |
Nco tseg:
- 2026 Daim Ntawv Qhia Xyoo Lub txaj tuav tus nqi yog $ 9.95.
2025 Tus Nqi (Hloov kho 3/4/2025)
Pib txij 1/1/2025 txog 12/31/2025
| Hom kev pabcuam | Tus nqi Code | Tus nqi Code Tus nqi | Revenue Code | Per Diem |
|---|---|---|---|---|
| Rehab Therapy | 24 | 83 | 0199 | $ 89.37 |
| Vent Weaning | 24 | 84 | 0199 | $ 83.31 |
| Lub tshuab ua pa | 24 | 85 | 0190 | $ 1,461.99 |
| Tsis-Ventilator | 24 | 86 | 0190 | $ 1,342.66 |
Bed Hold/Leave of Absence Rates – Effective 1/1/2025 through 12/31/2025
| Hom kev pabcuam | Tus nqi Code | Tus nqi Code Tus nqi | Revenue Code | Txuag Txiaj Ntsig / Tso Tawm Ntawm Qhov Tsis Taus Ib Diem |
|---|---|---|---|---|
| Lub tshuab ua pa | 24 | 87 | 0185 | $ 1,452.22 |
| Tsis-Ventilator | 24 | 88 | 0185 | $ 1,332.89 |
| Lub tshuab ua pa | 24 | 89 | 0180 | $ 1,452.22 |
| Tsis-Ventilator | 24 | 90 | 0180 | $ 1,332.89 |
Nco tseg:
- Xyoo 2025 Calendar Lub txaj tuav tus nqi yog $ 9.77.
2024 Rates – Updated in Accordance with the LTC Claim Form and Code Conversion Data Elements
Pib txij 2/1/2024 txog 12/31/2024
| Hom kev pabcuam | Tus nqi Code | Tus nqi Code Tus nqi | Revenue Code | Per Diem |
|---|---|---|---|---|
| Rehab Therapy | 24 | 83 | 0199 | $ 85.64 |
| Vent Weaning | 24 | 84 | 0199 | $ 79.84 |
| Lub tshuab ua pa | 24 | 85 | 0190 | $ 1,375.00 |
| Tsis-Ventilator | 24 | 86 | 0190 | $ 1,259.58 |
Bed Hold/Leave of Absence Rates – Effective 2/1/2024 through 12/31/2024
| Hom kev pabcuam | Tus nqi Code | Tus nqi Code Tus nqi | Revenue Code | Txuag Txiaj Ntsig / Tso Tawm Ntawm Qhov Tsis Taus Ib Diem |
|---|---|---|---|---|
| Lub tshuab ua pa | 24 | 87 | 0185 | $ 1,365.48 |
| Tsis-Ventilator | 24 | 88 | 0185 | $ 1,250.06 |
| Lub tshuab ua pa | 24 | 89 | 0180 | $ 1,365.48 |
| Tsis-Ventilator | 24 | 90 | 0180 | $ 1,250.06 |
Nco tseg:
For more information, please visit LTC Claim Form and Code Conversion webpage.
2024 Rates – Local Accommodation Codes
Pib txij 1/1/2024 txog 1/31/2024
| Hom kev pabcuam | Chaw nyob Code | Per Diem | Lub txaj tuav / Tawm ntawm Tsis Tuaj Chaw nyob Code | Lub txaj tuav / tawm ntawm qhov tsis tuajPer Diem |
|---|---|---|---|---|
| Rehab Therapy | 83 | $ 85.64 | n/a | n/a |
| Vent Weaning | 84 | $ 79.84 | n/a | n/a |
| Lub tshuab ua pa | 85 | $ 1,375.00 | 87 / 89 | $ 1,365.48 |
| Tsis-Ventilator | 86 | $ 1,259.58 | 88 / 90 | $ 1,250.06 |
Pab Links
Freestanding Skilled Nursing Facilities thiab Subacute Units (ca.gov)
Tiv tauj peb
Please send questions regarding DP/PSA rates to LTCReimbursement@dhcs.ca.gov