Kev Kho Mob Kev Kho Mob Nyiaj Txiag (AB 186)
Rov qab mus rau Freestanding Skilled Nursing Facilities thiab Subacute Units hauv tsev
Assembly Bill 186 (Chapter 46, Statutes of 2022) tau hloov kho Medi-Cal Long-Term Care Reimbursement Act los hloov kho cov txheej txheem nyiaj txiag muaj feem xyuam rau Freestanding Skilled Nursing Facilities Level-B thiab Adult Freestanding Subacute Facilities Level-B. Cov txheej txheem nyiaj txiag tau tso cai los ntawm AB 186 yog pib thaum Lub Ib Hlis 1, 2023 txog Lub Kaum Ob Hlis 31, 2026. AB 186 tso cai rau Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) los ua peb txoj haujlwm tshiab loj: Workforce & Quality Incentive Program (WQIP), Workforce Standards Program, thiab Accountability Sanctions Program. DHCS tab tom tsim cov kev pabcuam no hauv 2022 thiab 2023.
Cov kev hloov kho tau tso cai los ntawm AB 186 yog npaj rau:
- Kev txhawb zog zoo dua thiab tuav cov chaw lav ris rau kev saib xyuas neeg mob zoo.
- Qhia txog lub luag haujlwm tseem ceeb ntawm cov neeg ua haujlwm.
- Kev sib npaug zoo dua ntawm kev faib tawm txhua xyoo nce.
- Ua rau muaj kev muaj peev xwm nyiaj txiag mus sij hawm ntev ntawm cov chaw nyob hauv Medi-Cal qhov chaw zov me nyuam.
Cov Txheej Txheem Txheej Txheem
| Qhov Kev Pab Cuam | Lub Sijhawm Txhim Kho | Lub Sijhawm Ua Haujlwm |
| Workforce & Quality Incentive Program (WQIP). DHCS will provide directed payments to facilities to incentivize workforce and quality. This program succeeds the former Quality and Accountability Supplemental Payment (QASP) program. | September 2022 – December 2022 | Cov nyiaj them rau cov chaw nyob thaum ntxov 2024 raws li Kev Siv Lub Xyoo (CY) 2023. |
| Workforce Standards Program (WSP). DHCS will establish workforce standards such as maintain a collective bargaining agreement or paying prevailing wage. DHCS will provide facilities that meet these standards with a workforce augmentation to base their per diem rate effective for CY 2024. Please visit the WSP wepage for more information. | Ua tiav Lub Kaum Hli 1, 2024 | CY 2024 Rates published October 1, 2024 on the FS/NF-B and FSSA homepage. |
| Accountability Sanctions Program (ASP). DHCS is authorized to sanction facilities that do not meet quality standards established by DHCS on a per Medi-Cal bed day basis. | July 2023 – November 2023 | Cov qauv zoo yuav siv tau rau CY 2024. |
DHCS Public Notice for Proposed State Plan Hloov Kho #24-0004
Thaum Lub Kaum Ob Hlis 28, 2023, DHCS tau tshaj tawm Txoj Kev Npaj Khomob Xeev (SPA) #24-0004 rau kev tawm tswv yim rau pej xeem. SPA 24-0004 thov kom rov ua dua tshiab thiab hloov kho cov txheej txheem them nyiaj rov qab rau Freestanding Skilled Nursing Facilities Level-B thiab Adult Freestanding Subacute Facilities Level-B thiab ua raws li Txoj Haujlwm Pabcuam Kev Ua Haujlwm. Cov lus tau hais los ntawm DHCS thaum Lub Ib Hlis 29, 2024.
SNF ASP Txoj Cai Tsab Ntawv
On December 10, 2025, DHCS released SNF ASP Policy Letters 25-002 (supersedes Policy Letter 24-001) and 25-003 (supersedes Policy Letter 24-002), providing updated guidance for the SNF ASP for Measurement Years (MY) 2024 and 2025, respectively.
On September 25, 2025, DHCS published the SNF ASP Policy Letter 25-001 outlining the SNF ASP Appeals and Waivers processes.
For more information on the ASP, please visit the SNF ASP webpage.
SNF QIB
For information on the WQIP, please visit the SNF WQIP webpage.
Stakeholder Consultation
AB 186 xav kom DHCS tsim cov txheej txheem, qhov ntsuas, thiab cov qauv tsim nyog rau cov kev pab cuam no hauv kev sab laj nrog cov neeg sawv cev los ntawm kev lag luam saib xyuas mus sij hawm ntev, kev koom tes ua haujlwm, cov neeg tawm tswv yim, thiab cov phiaj xwm saib xyuas. DHCS tseem tab tom tshawb nrhiav thiab kho qhov program tsim thiab zoo siab txais tos cov neeg koom nrog cov tswv yim. Thov xa cov lus sau rau:
| Program | Email Chaw nyob |
| Workforce & Quality Incentive Program | SNFWQIP@dhcs.ca.gov |
| Workforce Standards Program | SNFWSP@dhcs.ca.gov |
| Qhov Kev Pabcuam Kev Txiav Txim Rau Kev Ua Txhaum Cai | SNFASP@dhcs.ca.gov |
Lub Chaw Saib Xyuas Kev Noj Qab Haus Huv Nyiaj Txiag Kev Hloov Kho Webinar
DHCS yog hosting virtual stakeholder webinars los tham txog Workforce and Quality Incentive Program (WQIP), Workforce Standards Program, and Accountability Sanctions Program, tso cai los ntawm Assembly Bill 186 (Tshooj 46, Statutes of 2022).
Lub rooj sib tham tom ntej:
Yuav tsum tshaj tawm.
Cov Lus Qhia Txog Kev Sib Tham:
Yuav tsa tes li cas thaum lub rooj sib tham
Raise your hand in a Teams meeting – Microsoft Support
Koom nrog hauv xov tooj (suab nkaus xwb)
Thov hu rau +1 279-895-6425 thiab sau lub rooj sib tham hauv xov tooj ID: 548 597 841#
Txhawm rau thov kom hais lus thaum lub sijhawm tawm tswv yim rau pej xeem, thov nias *5.
Cov rooj sib tham yav dhau los:
Kaum Hli Ntuj 25, 2022 Cov ntaub ntawv nthuav qhia
Kaum Ib Hlis Ntuj 18, 2022 Cov ntaub ntawv nthuav qhia
Kaum Ob Hlis Ntuj 21, 2022 Cov ntaub ntawv nthuav qhia
Lub Ob Hlis 1, 2023 Cov ntaub ntawv nthuav qhia
Lub Peb Hlis 10, 2023 Cov ntaub ntawv nthuav qhia
Plaub Hlis Ntuj 12, 2023 Cov ntaub ntawv nthuav qhia
Lub Rau Hli 8, 2023 Cov ntaub ntawv nthuav qhia
Lub Xya Hli 27, 2023 Cov ntaub ntawv nthuav qhia
Kaum Hli Ntuj 13, 2023 Cov ntaub ntawv nthuav qhia
Draft CY 2024 Wage Standard
Kaum Ib Hlis Ntuj 17, 2023 Cov ntaub ntawv nthuav qhia
Draft SNF Peer Groups CY 2024
Kaum Ob Hlis Ntuj 15, 2023 Cov ntaub ntawv nthuav qhia
Tsib Hlis 10, 2024 Cov ntaub ntawv nthuav qhia
Kev Siv Tau:
Rau cov tib neeg uas muaj kev tsis taus, DHCS yuav muab cov cuab yeej pabcuam pub dawb, suav nrog kev txhais lus thiab kos npe, sau npe hauv lub sijhawm, tus neeg sau ntawv, kev nyeem ntawv lossis kev sau ntawv, thiab hloov cov kev qhia lossis cov ntaub ntawv sib tham rau hauv daim ntawv sau ua lej, ntawv loj, suab, lossis hluav taws xob. hom ntawv. Yog xav thov lwm hom ntawv lossis kev pabcuam lus, thov hu lossis sau ntawv:
Department of Health Care Services
Tus Nqi-rau-Service Rate Development Division
1501 Capitol Avenue, MS 4600
PO ib 997417
Sacramento, CA 95899-7417
(916) 552-9600
Email: SNFWSP@dhcs.ca.gov
Thov nco ntsoov tias qhov ntau ntawm cov kev pabcuam pabcuam muaj yuav raug txwv yog tias kev thov tau txais tsawg dua kaum hnub ua haujlwm ua ntej lub rooj sib tham lossis kev tshwm sim.
AB 186 E-mail Distribution List
Qhov kev pabcuam e-mail no (ListServ) tau tsim los kom cov neeg muaj feem txaus siab tuaj yeem tau txais cov kev hloov tshiab cuam tshuam ntawm AB 186 cov kev pabcuam.
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Cov ntaub ntawv ntxiv:
Freestanding Skilled Nursing Facilities thiab Subacute Units