Freestanding Skilled Nursing Facilities thiab Subacute Units
Medi-Cal reimbursement rates for Freestanding Skilled Nursing Facilities Level-B (FS/NF-B) and Adult Freestanding Subacute Facilities Level-B (FSSA/NF-B) are updated each calendar year (CY) using a cost-based facility-specific methodology pursuant to Supplement 4 of Attachment 4.19-D of the California Medicaid State Plan.
Workforce Standards Program
Ua raws li Kev Sib Tham Bill (AB) 186 (Tshooj 42, Txoj Cai Lij Choj ntawm 2022) thiab Lub Xeev Txoj Kev Hloov Kho (SPA) 24-0004, DHCS tau tsim Cov Txheej Txheem Ua Haujlwm (WSP) pib rau CY 2024. Cov chaw uas koom nrog hauv WSP yuav tau txais kev txhim kho ib tus nqi ntxiv nrog rau Kev Kho Tus Nqi Ua Haujlwm. Cov chaw uas tsis koom nrog WSP yuav tau txais qhov pib ntawm tus nqi diem.
The CY 2024 and CY 2025 Rate Studies display both each facility’s basic and enhanced per diem. DHCS is processing WSP opt-ins on a batch basis and updating CY 2024 and CY 2025 Rates on File to reflect the facility’s participation in WSP. DHCS published the latest batch of updated Rates on File reflecting WSP opt-ins in July 2025 and further batches will be published soon. Facilities continue to receive the CY 2023 Rates on File until updated CY 2024 and CY 2025 Rates on File are published.
Lub sijhawm xaiv rau CY 2026 yog Lub Rau Hli 1, 2025 txog Lub Yim Hli 1, 2025.
Thov mus saib ntawm WSP lub vev xaib kom paub ntxiv txog qhov kev pab cuam.
CY 2026 Tus nqi
CY 2026 Tus Nqi Kawm
Cov ntaub ntawv muaj cov qauv zaum kawg rau Freestanding Skilled Nursing Facilities Level-B (FS/NF-B) thiab Adult Freestanding Subacute Facilities Level-B (FSSA/NF-B) CY 2026 tus nqi raws li Medi-Cal Long-Term Care Reimbursement Act (Welfare & Institutions Code50 Section 14) California 4.19-D).
CY 2026 Tus Nqi Txoj Cai Tsab Ntawv
CY 2026 Tshaj tawm Tus Nqi ntawm Cov Ntaub Ntawv
CY 2025 Tus nqi
CY 2025 Cov Nqi Kawm Ntawv
CY 2025 Rates Policy Letters
- LTC Tus Nqi Txoj Cai Tsab Ntawv 25-001: FS/NF CY 2025 Tus Nqi
- LTC Tus Nqi Txoj Cai Tsab Ntawv 25-002: WSP CY 2026 Xaiv Hauv
CY 2025 Published Rates on File
CY 2024 Tus nqi
CY 2024 Kev Kawm Qib Siab
CY 2024 FS/SNF-B Rate Study
CY 2024 FS/SNF-B Rate Recomputations
CY 2024 FSSA Rate Study
CY 2024 Fair Rental Value System
The CY 2024 rate studies calculate both the basic and enhanced per diem rates for each facility. Facilities that participate in the WSP will receive the enhanced per diem rate including the Workforce Rate Adjustment. Facilities that do not participate in the WSP will receive the basic per diem rate.
CY 2024 Rate Policy Letters
- LTC Tus Nqi Txoj Cai Tsab Ntawv 24-001: FS/NF CY 2024 Tus Nqi & WSP
- LTC Tus Nqi Txoj Cai Tsab Ntawv 24-003: WSP Hnub Kawg Ntxiv
CY 2024 Tshaj tawm Tus Nqi ntawm Cov Ntaub Ntawv
CY 2023 Tus nqi
CY 2023 Rate Studies
CY 2023 Rates Policy Letters
- LTC Rates Policy Letter 23-001: FS/NF CY 2023 Rates
- LTC Rates Policy Letter 23-002: Change in Ownership Rates
CY 2023 Published Rates on File
- CY 2023 FS/SNF-B Rates on File (updated 3/14/2025)
- CY 2023 FS/SA Rates on File (updated 3/14/2025)
Managed Care Plan Carve-In
Under CalAIM, Medi-Cal managed care plans (MCPs) will cover and coordinate Medi-Cal institutional Long-Term Care (LTC) in all counties in 2023 in a phased approach by facility type. Please see CalAIM Long-Term Care Carve-In Transition for additional information.
Thov saib Daim Ntawv Npaj Ua Haujlwm hauv qab no rau qhov yuav tsum tau thov rau MCPs:
- APL 24-009, Skilled Nursing Facilities — Long Term Care Benefit Standardization and Transition of Members to Managed Care
- APL 24-010, Subacute Care Facilities — Long Term Care Benefit Standardization and Transition of Members to Managed Care
Medi-Cal COVID-19 PHE Audits
Assembly Bill (AB) 81 (Tshooj 13, Txoj Cai ntawm 2020) thiab Welfare and Institutions Code (WIC) seem 14126.032 xav kom DHCS los tshuaj xyuas Freestanding Skilled Nursing Facilities Level-B (FS/NF-B) thiab Adult Freestanding Subacute Facilities (FSSA) uas muaj feem cuam tshuam rau cov nyiaj tau los (PHE) txhawm rau txiav txim siab seb lub tsev kho mob puas tau siv cov nyiaj Medi-Cal ntau ntxiv uas cuam tshuam nrog COVID-19 PHE los txhawb kev xa cov neeg mob, raws li tau hais hauv Tshooj 14126.032(a).
Detailed information about the program, audit process, and reporting schedules can be found on the COVID-19 PHE Audits website.
Tiv tauj peb
Thov xa koj cov lus nug txog ib lub ntsiab lus ntawm nplooj ntawv no mus rau: AB1629@dhcs.ca.gov
Pab Links
- Kev them nyiaj rov qab mus rau Lub Sij Hawm Ntev Ntev Lub Vev Xaib
- Third Party Liability Quality Assurance Fee (QAF) Program
- Nursing Facility Financing Reform (AB 186) website
- Workforce Standards Program (WSP)
- Workforce & Quality Incentive Program (WQIP)
- Txoj Haujlwm Kev Txiav Txim Rau Kev Txhaum Cai (ASP)
- COVID-19 PHE Audits website
- Txoj hauj lwm Title Descriptions
- Rates Archive – Rates information older than two years