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The Skilled Nursing Facility (SNF) Accountability Sanctions Program (ASP) imposes monetary sanctions on facilities that fail to meet one or more quality or equity measures established by DHCS on a per Med-Cal bed day basis. ASP is authorized by Welfare & Institutions Code Section 14126.026 (added by Assembly Bill (AB) 186 (Chapter 46, Statutes of 2022)) to assess a sanction of up to five dollars ($5) for each Medi-Cal bed day within the rating period. For each measure, the aggregate sanction assessed shall not exceed one hundred fifty thousand dollars ($150,000) in a single rating period.
Rau ASP cov lus nug lossis kev txhawj xeeb, thov hu rau ASP cov neeg ua haujlwm pabcuam ntawm SNFASP@dhcs.ca.gov.
Yog xav paub ntxiv txog lwm yam Kev Pabcuam Saib Xyuas Kev Khomob Nyiaj Txiag tau tso cai los ntawm AB 186, thov mus saib Nursing Facility Financing Reform AB 186.
SNF ASP Txoj Cai Tsab Ntawv
Thaum Lub Yim Hli 11, 2026, DHCS tau tshaj tawm tsab ntawv Txoj Cai SNF ASP 26-001 uas piav qhia txog txoj kev txiav txim siab txog kev ua tau zoo ntawm Feem Pua ntawm Cov Neeg Nyob Hauv Tebchaws Uas Tau Txais Tshuaj Tiv Thaiv Kev Mob Hlwb, Kev Nyob Ntev (APM) rau Xyoo Ntsuas (MY) 2025 thiab 2026.
Thaum Lub Kaum Ob Hlis 24, 2025, DHCS tau tshaj tawm tsab ntawv Txoj Cai SNF ASP 25-004 los muab kev piav qhia txog Xyoo Ntsuas 2026.
Thaum Lub Kaum Ob Hlis 10, 2025, DHCS tau tso tawm SNF ASP Txoj Cai Tsab Ntawv 25-002 (hloov Tsab Ntawv Txoj Cai 24-001) thiab 25-003 (hloov Tsab Ntawv Txoj Cai 24-002), muab cov lus qhia tshiab rau SNF ASP rau Kev Ntsuas Xyoo (MY) 2024 thiab 2025, raws li.
Thaum Lub Cuaj Hlis 25, 2025, DHCS tau tshaj tawm tsab ntawv Txoj Cai SNF ASP 25-001 uas piav qhia txog cov txheej txheem thov rov hais dua thiab zam txim ntawm SNF ASP.
Thaum Lub Kaum Ob Hlis 12, 2024, DHCS tau tshaj tawm tsab ntawv Txoj Cai SNF ASP 24-002 los muab kev piav qhia txog Xyoo Ntsuas 2025.
Thaum lub Tsib Hlis 15, 2024, DHCS tau tshaj tawm tsab ntawv Revised SNF ASP Policy Letter 24-001 (Supersedes Policy Letter 23-001).
SNF ASP Methodology
Thaum Lub Rau Hli 2, 2026, DHCS tau tshaj tawm txoj kev xam SNF ASP Medi-Cal Bed Day (MCBD).
Thaum Lub Yim Hli 18, 2026, DHCS tau tshaj tawm SNF ASP Txoj Kev Ntsuas Xyoo (MY) 2024 uas tau hloov kho tshiab, uas suav nrog kev hloov kho tshiab rau MDS 3.0 thiab Medi-Cal Bed Day (MCBD) cov ntaub ntawv tau txais li cas, nrog rau ib qho piv txwv qhia txog kev suav cov lej suav thiab cov lej faib rau txhua qhov kev ntsuas.
SNF ASP FAQs
Thaum Lub Peb Hlis Ntuj hnub tim 26, 2025, DHCS tau tshaj tawm cov ntaub ntawv FAQs uas teb cov lus nug feem ntau txog qhov kev pab cuam.
SNF ASP Data Sharing
Measurement Year (MY) 2024 Medi-Cal Bed Day (MCBD) Counts
Please refer to the CalHHS Open Data Portal for the SNF ASP MY24 MCBD counts. MCBD is a factor in determining the monetary sanction amount for SNFs who fail to meet or exceed the minimum performance benchmarks for selected measures.
Pursuant to DHCS’s Data De-identification Guidelines, DHCS is not able to publicly release any MCBD count that is less than 11. In the link above any MCBD counts below 11 are therefore not shown. This is referred to as “suppression”. Additionally, after the initial cell suppression (<11, excluding 0) is completed, complementary cell suppression is also required to ensure the suppressed cells cannot be re-identified.
Please note the suppression of MCBD counts does not affect of facility’s sanction amount calculation in SNF ASP. Sanction amounts will continue to be calculated based on the methodology outlined in the SNF ASP Methodology.
SNF ASP Webinar
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Cov Lus Qhia Txog Kev Sib Tham:
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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:
Lub Rau Hli 27, 2025, Cov ntaub ntawv nthuav qhia
Kaum Hli Ntuj 21, 2024 Cov ntaub ntawv nthuav qhia
AB 186 E-mail Distribution List
Qhov kev pabcuam e-mail no (ListServ) tau tsim kom muaj kev txaus siab rau cov neeg koom nrog tuaj yeem tau txais cov kev hloov tshiab cuam tshuam ntawm AB 186 cov kev pabcuam (ASP, WQIP, thiab WSP).