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.
Tus Nqi Xyoo 2027
Kev Tshawb Fawb Txog Tus Nqi CY 2027
Cov ntaub ntawv saum toj no muaj cov qauv ua ntej rau Freestanding Skilled Nursing Facilities Level-B (FS/NF-B) thiab Adult Freestanding Subacute Facilities Level-B (FSSA/NF-B) CY 2027 tus nqi raws li kev pom zoo ntawm State Plan Amendment (SPA) 26-0010 thiab tsuas yog muab rau pej xeem saib xyuas xwb. Thov saib cov lus tsis lees paub uas muaj nyob hauv txhua daim ntawv.
Cov kev tshawb fawb txog tus nqi no tsis hloov kho cov nqi Medi-Cal uas muaj nyob hauv cov ntaub ntawv thiab tsis yog rau kev them nqi lossis lwm yam kev siv. Cov nqi kawg CY 2027 yuav txawv ntawm qhov qauv no raws li kev hloov pauv lossis kev kho rau cov ntaub ntawv hauv qab, kev hloov pauv tsim nyog kom tau txais kev pom zoo los ntawm tsoomfwv, thiab lwm yam kev hloov pauv uas pom zoo raws li DHCS lub siab nyiam.
DHCS thov kom muaj lus tawm tswv yim lossis tswv yim tsis pub dhau lub Kaum Hli Ntuj hnub tim 16, 2026. Yog koj muaj lus nug lossis lus tawm tswv yim, thov xa email rau AB1629@dhcs.ca.gov nrog rau kab ntawv "CY 2027 Rates Public Review Draft".
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 (Cuaj Hlis 15, 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 ntawm CY 2025 thiab FS/SA muaj nyob rau hauv Cov Ntaub Ntawv (Cuaj Hlis 15, 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
Cov kev tshawb fawb txog tus nqi CY 2024 suav ob qho tib si tus nqi them ib hnub yooj yim thiab tus nqi them ib hnub ntxiv rau txhua qhov chaw. 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.
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 (Cuaj Hlis 15, 2026)
CY 2023 Tus nqi
CY 2023 Rate Studies
CY 2023 Rates Policy Letters
- Tsab Ntawv Txoj Cai Txog Tus Nqi LTC 23-001: Tus Nqi FS/NF CY 2023
- Tsab Ntawv Txoj Cai Txog Tus Nqi LTC 23-002: Kev Hloov Pauv ntawm Tus Nqi Muaj Tswv
Cov Nqi Luam Tawm Xyoo 2023 Hauv Cov Ntaub Ntawv
- 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
Kev Npaj Kho Mob uas Muaj Kev Tswj Xyuas
Nyob rau hauv CalAIM, Medi-Cal cov phiaj xwm kev saib xyuas kev tswj hwm (MCPs) yuav them thiab sib koom tes Medi-Cal kev saib xyuas kev kho mob mus sij hawm ntev (LTC) hauv txhua lub nroog hauv xyoo 2023 hauv txoj hauv kev ua ntu zus raws li hom chaw. Thov saib CalAIM Long-Term Care Carve-In Transition kom paub ntxiv.
Thov saib Daim Ntawv Npaj Ua Haujlwm hauv qab no rau qhov yuav tsum tau thov rau MCPs:
- APL 26-010, Skilled Nursing Facilities – Long – Term Care Benefit Under Managed Care (Supersedes APL 24-009)
- APL 26-011, Subacute Care Facilities – Long – Term Care Benefit Under Managed Care (Supersedes APL 24-010)
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).
Cov ntaub ntawv qhia txog qhov kev pab cuam, cov txheej txheem tshuaj xyuas, thiab cov sijhawm tshaj tawm tuaj yeem pom ntawm lub vev xaib COVID-19 PHE Audits.
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)
- Kev Pab Cuam Txhawb Nqa Cov Neeg Ua Haujlwm & Kev Zoo (WQIP)
- Txoj Haujlwm Kev Txiav Txim Rau Kev Txhaum Cai (ASP)
- Lub vev xaib tshuaj xyuas COVID-19 PHE
- Txoj hauj lwm Title Descriptions
- Cov Ntaub Ntawv Txog Tus Nqi - Cov ntaub ntawv txog tus nqi uas laus dua ob xyoos