Freestanding Pediatric Subacute
Freestanding Pediatric Subacute (FS/PSA) cov nyiaj them rov qab yuav hloov txij lub Yim Hli mus rau Lub Xya Hli tus nqi xyoo ib xyoos rau ib xyoo raws li daim ntawv qhia hnub, pib txij lub Ib Hlis 1, 2024, raws li tau pom zoo hauv Xeev Txoj Kev Hloov Kho 23-0028.
CY 2026 Tus nqi
CY 2026 Rate Study
Cov ntaub ntawv hauv qab no muaj cov qauv kawg FS/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 | 97 | 0199 | $ 98.42 |
| Vent Weaning | 24 | 98 | 0199 | $ 91.76 |
| Lub tshuab ua pa | 24 | 91 | 0190 | $ 1,439.37 |
| Tsis-Ventilator | 24 | 92 | 0190 | $ 1,317.42 |
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 / Tso Tawm Ntawm Ib Diem |
|---|---|---|---|---|
| Lub tshuab ua pa | 24 | 93 | 0185 | $ 1,429.42 |
| Tsis-Ventilator | 24 | 94 | 0185 | $ 1,307.47 |
| Lub tshuab ua pa | 24 | 95 | 0180 | $ 1,429.42 |
| Tsis-Ventilator | 24 | 96 | 0180 | $ 1,307.47 |
Nco tseg:
- 2026 Daim Ntawv Qhia Xyoo Lub txaj tuav tus nqi yog $ 9.95.
2025 Rates (Updated 3/4/2025)
Effective 1/1/2025 through 12/31/2025
| Hom kev pabcuam | Tus nqi Code | Tus nqi Code Tus nqi | Revenue Code | Per Diem |
|---|---|---|---|---|
| Rehab Therapy | 24 | 97 | 0199 | $ 94.23 |
| Vent Weaning | 24 | 98 | 0199 | $ 87.86 |
| Lub tshuab ua pa | 24 | 91 | 0190 | $ 1,353.10 |
| Tsis-Ventilator | 24 | 92 | 0190 | $ 1,234.74 |
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 Ib Diem |
|---|---|---|---|---|
| Lub tshuab ua pa | 24 | 93 | 0185 | $ 1,343.33 |
| Tsis-Ventilator | 24 | 94 | 0185 | $ 1,224.97 |
| Lub tshuab ua pa | 24 | 95 | 0180 | $ 1,343.33 |
| Tsis-Ventilator | 24 | 96 | 0180 | $ 1,224.97 |
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 | 97 | 0199 | $ 90.30 |
| Vent Weaning | 24 | 98 | 0199 | $ 84.20 |
| Lub tshuab ua pa | 24 | 91 | 0190 | $ 1,316.13 |
| Tsis-Ventilator | 24 | 92 | 0190 | $ 1,198.56 |
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 Ib Diem |
|---|---|---|---|---|
| Lub tshuab ua pa | 24 | 93 | 0185 | $ 1,306.61 |
| Tsis-Ventilator | 24 | 94 | 0185 | $ 1,189.04 |
| Lub tshuab ua pa | 24 | 95 | 0180 | $ 1,306.61 |
| Tsis-Ventilator | 24 | 96 | 0180 | $ 1,189.04 |
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 tuaj Per Diem |
|---|---|---|---|---|
| Rehab Therapy | 97 | $ 90.30 | n/a | n/a |
| Vent Weaning | 98 | $ 84.20 | n/a | n/a |
| Lub tshuab ua pa | 91 | $ 1,316.13 | 93 / 95 | $ 1,306.61 |
| Tsis-Ventilator | 92 | $ 1,198.56 | 94 / 96 | $ 1,189.04 |
Pab Links
Freestanding Skilled Nursing Facilities thiab Subacute Units (ca.gov)
Tiv tauj peb
Please send questions regarding FS/PSA rates to LTCReimbursement@dhcs.ca.gov