Tsev Cov Kev Pabcuam Cov Kev Pabcuam Medi-Cal Cov Chaw Saib Xyuas Neeg Mob Uas Muaj Kev Txawj Ntse thiab Cov Chav Kho Mob Subacute

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 tsa rau CY 2027 pib txij lub Rau Hli 1, 2026 txog lub Yim Hli 3, 2026.

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

CY 2025 Published Rates on File

CY 2024 Tus nqi

CY 2024 Kev Kawm Qib Siab

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

CY 2024 Tshaj tawm Tus Nqi ntawm Cov Ntaub Ntawv

CY 2023 Tus nqi

CY 2023 Rate Studies

CY 2023 Rates Policy Letters

CY 2023 Published Rates on File

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:

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

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