Freestanding Skilled Nursing Facilities thiab Subacute Units
Cov nqi them rov qab ntawm Medi-Cal rau Cov Chaw Saib Xyuas Neeg Mob Uas Muaj Kev Txawj Ntse Qib-B (FS/NF-B) thiab Cov Chaw Saib Xyuas Neeg Mob Uas Muaj Kev Txawj Ntse Qib-B (FSSA/NF-B) raug hloov kho txhua xyoo (CY) siv cov txheej txheem tshwj xeeb raws li tus nqi raws li Cov Lus Qhia Ntxiv 4 ntawm Cov Ntaub Ntawv Ntxiv 4.19-D ntawm California Medicaid State Plan.
Workforce Standards Program
Raws li Assembly Bill (AB) 186 (Tshooj 42, Statutes of 2022) thiab State Plan Amendment (SPA) 24-0004, DHCS tau tsim tsa Workforce Standards Program (WSP) pib rau CY 2024. Cov chaw uas koom nrog WSP yuav tau txais tus nqi them ib hnub ntxiv suav nrog Kev Kho Tus Nqi Ua Haujlwm. Cov chaw uas tsis koom nrog WSP yuav tau txais tus nqi them txhua hnub yooj yim.
Cov Kev Tshawb Fawb Txog Tus Nqi CY 2024 thiab CY 2025 qhia txog ob qho tib si tus nqi them txhua hnub yooj yim thiab tus nqi them ntxiv rau txhua qhov chaw. DHCS tab tom ua cov kev xaiv WSP ntawm ib pawg thiab hloov kho CY 2024 thiab CY 2025 Rates on File kom qhia txog qhov chaw koom nrog WSP. DHCS tau tshaj tawm cov ntaub ntawv tshiab kawg ntawm cov nqi hloov tshiab uas qhia txog WSP xaiv-nkag thaum Lub Xya Hli 2025 thiab cov ntaub ntawv ntxiv yuav raug tshaj tawm sai sai no. Cov chaw ua haujlwm txuas ntxiv tau txais Cov Nqi CY 2023 uas tau muab tso rau hauv Cov Ntaub Ntawv kom txog thaum cov nqi CY 2024 thiab CY 2025 uas tau hloov kho tshiab tau muab tso tawm.
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 2026 FS/SNF-B thiab FSSA Cov Nqi Muaj Nyob Hauv Cov Ntaub Ntawv (Lub Yim Hli 14, 2026)
CY 2025 Tus nqi
Kev Tshawb Fawb Txog Tus Nqi CY 2025
- Kev Tshawb Fawb Txog Tus Nqi FS/SNF-B ntawm CY 2025
- CY 2025 FSSA Rate Study
- CY 2025 Fair Rental Value System
Cov Ntawv Cai Tswjfwm Tus Nqi CY 2025
- 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 Tshaj tawm Tus Nqi ntawm Cov Ntaub Ntawv
- Cov Nqi FS/SNF-B thiab FS/SA ntawm CY 2025 (Lub Yim Hli 14, 2026)
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 2024 FS/SNF-B thiab FS/SA Cov Nqi Muaj Nyob Hauv Cov Ntaub Ntawv (Lub Yim Hli 14, 2026)
CY 2023 Tus nqi
CY 2023 Rate Studies
CY 2023 Rates Policy Letters
- LTC Rates Policy Letter 23-001: FS/NF CY 2023 Rates
- Tsab Ntawv Txoj Cai Txog Tus Nqi LTC 23-002: Kev Hloov Pauv ntawm Tus Nqi Muaj Tswv
CY 2023 Published Rates on File
- Cov Nqi FS/SNF-B ntawm CY 2023 muaj nyob rau hauv Cov Ntaub Ntawv
- Cov Nqi FS/SA ntawm CY 2023 muaj nyob rau hauv Cov Ntaub Ntawv
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 txhua yam hauv nplooj ntawv web 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
- Cov Ntaub Ntawv Txog Tus Nqi - Cov ntaub ntawv txog tus nqi uas laus dua ob xyoos