Medi-Cal Cov Nyiaj Them Nqi Kho Mob Ntev Ntev
California Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) Tus Nqi Rau Kev Pabcuam Tus Nqis Kev Loj Hlob tau tsim cov nqi them rov qab Medi-Cal rau cov chaw saib xyuas mus sij hawm ntev (LTC) hauv qab no:
- Freestanding Skilled Nursing Level B thiab Adult Subacute Rate and Policy.
- Freestanding Pediatric Subacute (FS/PSA) Rates and Policy
- Distinct Part Pediatric Subacute (DP/PSA) Tus Nqi thiab Txoj Cai
- Distinct Part Skilled Nursing Facilities (DP/NF-B) Rates and Policy
- Distinct Part Adult Subacute Units (DP/SA) Tus Nqi thiab Txoj Cai
- Intermediate Care Facilities – Developmentally Disabled – Habilitative – Nursing (ICF/DD-H-N) Rates and Policy
- Nursing Facilities – Level A (NF-A) Rates and Policy
- Rural Swing Beds (RSB) Tus Nqi thiab Txoj Cai
- Transitional Inpatient Care Administration Hnub – Theem 1 (Admin Day) Tus Nqi thiab Txoj Cai
- Hospice Care Rates thiab Txoj Cai
Medi-Cal LTC cov nqi them rov qab yog tsim los ntawm txoj cai ntawm Title XIX ntawm Tsoom Fwv Teb Chaws Social Security Act. Cov txheej txheem tshwj xeeb tau piav qhia hauv California State Plan, Attachment 4.19-D.
Workforce Standards Program
The Workforce Standards Program (WSP) for FS/NF-B and FS/SA facilities is now live. Please visit the WSP website for more information.
CalAIM Kev Kho Mob Ntev Ntev Carve-In Transition
Raws li CalAIM, Medi-Cal cov phiaj xwm tswj hwm kev saib xyuas (MCPs) yuav them thiab koom tes nrog Medi-Cal lub koom haum LTC hauv txhua lub nroog hauv xyoo 2023 hauv txoj hauv kev ua ntu zus los ntawm hom chaw.
Detailed information about the transition can be found on the CalAIM Long Term Care Carve-In Transition webpage.
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
- APL 24-011 ICF/DD – LTC Benefit Standardization and Transition of Members to Managed Care
Tiv tauj peb
Thov xa cov lus nug txog FS/NF-B thiab FS/SA tus nqi rau AB1629@dhcs.ca.gov.
Please send questions regarding other LTC rates to LTCReimbursement@dhcs.ca.gov.