Intermediate Care Facilities - Developmentally Disabled, Habilitative and Nursing
Cov nqi them rov qab rau Cov Tsev Kho Mob Nruab Nrab, Kev Kho Mob Tsis Muaj Kev Loj Hlob (ICF/DD), Habilitative (ICF/DD-H), thiab Kev Saib Xyuas Neeg Mob (ICF/DD-N) tau hloov kho txhua xyoo uas siv cov txheej txheem tsis khov, sib koom ua ke, tus nqi raws li txoj hauv kev txuas 4.19-D ntawm Xeev California. Medicaid Cov cuab yeej siv tau muab faib ua cov phooj ywg los ntawm qib kev saib xyuas thiab txaj loj. Cov nqi them rov qab rau txhua pawg neeg sib tw yog tsim los ntawm 65 feem pua ntawm cov pab pawg cov nqi kwv yees raws li cov ntaub ntawv tshaj tawm tsis ntev los no thiab cov ntaub ntawv txheeb xyuas cov nqi hloov kho rau kev nce nqi, ntxiv rau cov nqi kwv yees ua raws li lub xeev tshiab lossis tseemfwv txoj cai lij choj (xws li lub xeev cov nyiaj hli tsawg kawg nkaus) thiab Tus Nqi Them Nqi Zoo (QAF). Pib txij lub Yim Hli 1, 2022, qhov qub Proposition 56 Kev Them Nyiaj Ntxiv tau hloov pauv kom suav nrog ua ib feem ntawm qhov tsis khov, tus nqi raws li tus nqi.
Hauv kev teb rau cov nqi nce ntxiv uas tshwm sim los ntawm cov tsev kho mob vim yog COVID-19 Kev Noj Qab Haus Huv Kev Noj Qab Haus Huv Xwm Ceev (PHE), DHCS tau muab cov chaw no nrog COVID-19 PHE tus nqi ib ntus nce sib npaug li 10 feem pua ntawm lawv 2019-20 ib tus nqi tuag rau lub sijhawm ntawm PHE, raws li pom zoo hauv Xeev Txoj Kev Hloov Kho 20-0024.
Raws li Senate Bill 184 (Tshooj 47, Txoj Cai ntawm 2022), uas tau hloov kho Welfare thiab Institutions Code § 14105.075, DHCS tab tom tsim kom muaj kev tuav pov hwm tsis muaj teeb meem rau cov hnub ua haujlwm tom qab tau tshaj tawm qhov kawg ntawm PHE nyob rau hauv kev pom zoo Lub Xeev Txoj Kev Hloov Kho 22-0061. Qhov kev tuav pov hwm tsis muaj teeb meem yuav muab tau tias tom qab hnub kawg ntawm PHE, cov chaw yuav tau txais ntau dua ntawm:
- Tus nqi tsis khov, tus nqi raws li tau piav qhia saum toj no, lossis
- Tag nrho cov nyiaj them rov qab tau siv rau hnub kawg ntawm PHE, suav nrog COVID-19 PHE tus nqi nce ib ntus.
ICF/DD cov nyiaj them rov qab tau hloov ntawm lub Yim Hli mus rau Lub Xya Hli tus nqi xyoo ib xyoos rau ib xyoo raws li daim ntawv teev npe, pib txij lub Ib Hlis 1, 2024, raws li tau pom zoo hauv
Xeev Txoj Kev Hloov Kho 23-0032.
Thov saib Daim Ntawv Qhia Tag Nrho hauv qab no rau qhov yuav tsum tau thov rau MCPs:
CY 2026 Tus nqi
CY 2026 Rate Studies Public Review Draft
Cov ntaub ntawv saum toj no muaj cov qauv ua ntej rau ICF-DD (H/N) CY 2026 tus nqi raws li California Medicaid State Plan (Txuas 4.19-D). Thov saib daim ntawv tsis lees paub nrog rau hauv daim ntawv. Cov qauv no tsis hloov kho Medi-Cal tus nqi ntawm cov ntaub ntawv thiab tsis yog npaj rau kev them nyiaj lossis lwm yam kev siv. Qhov kawg CY 2026 tus nqi yuav txawv ntawm qhov qauv no raws li kev hloov pauv ntawm kev kho 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 tau tias tsim nyog hauv DHCS txoj kev txiav txim siab ib leeg. DHCS thov cov lus los yog tawm tswv yim tsis pub dhau lub Kaum Hlis 17, 2025. Yog muaj lus nug lossis lus nug, thov xa email rau
LTCReimbursement@dhcs.ca.gov nrog rau kab ntawv "CY 2026 Rates Public Review Draft".
ICF/DD Calendar Xyoo 2025 Tus Nqi - Pib Lub Ib Hlis Ntuj 1, 2025 txog Lub Kaum Ob Hlis 31, 2025
Luam tawm 12/30/2024
ICF/DD 1-59 txaj
| 24
| 41 | 0101 | $ 383.31
| 24
| 43
| 0180 | $ 373.54
|
ICF/DD 60+ txaj
| 24
| 42 | 0101 | $ 421.42
| 24
| 44
| 0180 | $ 411.65
|
ICF/DD-H 4-6 txaj
| 24
| 61 | 0101
| $ 403.44
| 24
| 63 | 0180 | $ 393.67
|
ICF/DD-H 7-15 txaj
| 24
| 65 | 0101
| $ 392.18
| 24
| 68
| 0180
| $ 382.41
|
ICF/DD-N 4-6 txaj
| 24
| 62
| 0101
| $ 424.05
| 24
| 64
| 0180 | $ 414.28
|
ICF/DD-N 7-15 txaj
| 24
| 66 | 0101
| $ 477.62
| 24
| 69 | 0180
| $ 467.85 |
Nco tseg:
- Rate table hloov kho raws li LTC Daim Ntawv Thov thiab Code Hloov.
- Xyoo 2025 Calendar Lub txaj tuav tus nqi yog $ 9.77.
- Managed Care cov koom haum yuav xa mus rau Total Reimbursement and the Total Bed Hold Reimbursement.
ICF/DD Calendar Xyoo 2024 Tus Nqi - Pib Lub Ob Hlis 1, 2024 txog Lub Kaum Ob Hlis 31, 2024
ICF/DD 1-59 txaj
| 24
| 41 | 0101 | $ 369.73
| 24
| 43
| 0180 | $ 360.21
|
ICF/DD 60+ txaj
| 24
| 42 | 0101 | $ 421.42
| 24
| 44
| 0180 | $ 411.90
|
ICF/DD-H 4-6 txaj
| 24
| 61 | 0101
| $ 363.12
| 24
| 63 | 0180 | $ 353.60
|
ICF/DD-H 7-15 txaj
| 24
| 65 | 0101
| $ 378.14
| 24
| 68
| 0180
| $ 368.62
|
ICF/DD-N 4-6 txaj
| 24
| 62
| 0101
| $ 394.48
| 24
| 64
| 0180 | $ 384.96
|
ICF/DD-N 7-15 txaj
| 24
| 66 | 0101
| $ 445.65
| 24
| 69 | 0180
| $ 436.13 |
Nco tseg:
- Rate table hloov kho raws li LTC Daim Ntawv Thov thiab Code Hloov.
- Xyoo 2024 Calendar Lub txaj tuav tus nqi yog $ 9.52.
- Managed Care cov koom haum yuav xa mus rau Total Reimbursement and the Total Bed Hold Reimbursement.
ICF/DD Calendar Xyoo 2024 Tus Nqi - Pib Lub Ib Hlis Ntuj 1, 2024 txog Lub Ib Hlis 31, 2024
ICF/DD 1-59 txaj
|
41
|
$ 369.73
|
43
|
$ 360.21
|
ICF/DD 60+ txaj
|
41
|
$ 421.42
|
43
|
$ 411.90
|
ICF/DD-H 4-6 txaj
|
61
|
$ 363.12
|
63
|
$ 353.60
|
ICF/DD-H 7-15 txaj
|
65
|
$ 378.14
|
68
|
$ 368.62
|
ICF/DD-N 4-6 txaj
|
62
|
$ 394.48
|
64
|
$ 384.96
|
ICF/DD-N 7-15 txaj
|
66
|
$ 445.65
|
69
|
$ 436.13
|
Nco tseg:
ICF/DD 2023 Choj Tus Nqi Them - Pib Lub Yim Hli 1, 2023 txog Lub Kaum Ob Hlis 31, 2023
ICF/DD 1-59 txaj
|
41
|
$ 369.73
|
43
|
$ 360.27
|
ICF/DD 60+ txaj
|
41
|
$ 407.84
|
43
|
$ 398.38
|
ICF/DD-H 4-6 txaj
|
61
|
$ 357.69
|
63
|
$ 348.23
|
ICF/DD-H 7-15 txaj
|
65
|
$ 371.78
|
68
|
$ 362.32
|
ICF/DD-N 4-6 txaj
|
62
|
$ 394.48
|
64
|
$ 385.02
|
ICF/DD-N 7-15 txaj
|
66
|
$ 445.65
|
69
|
$ 436.19
|
Nco tseg:
- 2023 Choj Lub Sijhawm txaj tuav tus nqi yog $ 9.46.
- Managed Care cov koom haum yuav xa mus rau Total Reimbursement and the Total Bed Hold Reimbursement.
Tiv tauj peb
Thov xa cov lus nug txog ICF/DD tus nqi rau LTTCReimbursement@dhcs.ca.gov.
Rov qab mus rau Long Term Care Reimbursement Home
