Designated Intermediate Care Facility Developmentally Disabled

The Designated Intermediate Care Facility – Developmentally Disabled (DICF-DD) program is governed by the California Health and Safety Code, Sections 1324 through 1324.14. These provisions require the California Department of Health Care Services to impose a quality assurance fee on the entire gross receipts for each Designated Intermediate Care Facility for the Developmentally Disabled (DICF-DD), Habilitative (DICF-DD-H), and Nursing (DICF-DD-N.) For the purposes of this program, the term “gross receipts” is defined as compensation for services provided to residents of a DICF, not including the following:

  1. Return of any amounts to the payer as a result of overpayments
  2. Bad debts
  3. Vendor rebates received by the facility
  4. Charitable contributions received by the facility

As a condition for the DICF’s to participate in the Medi-Cal program, payments to DHCS must be made on or before the last day of each calendar quarter, following the calendar quarter for which the fee is imposed. DHCS has the discretion to make retroactive adjustments as necessary to ensure that the fees collected do not exceed 6 percent. Please refer to the following link regarding important changes to DICF QAF requirements: DICF Bulletin 388


Effective October 1, 2011, the fee imposed on a Designated Intermediate Care Facility’s gross receipts during each calendar quarter increased from 5.5 percent to 6 percent in accordance with Title 42, United States Code Section 1396b(w)(4)(C)(ii). Designated Intermediate Care Facilities are not required to pay the 0.5% increase until such time that they begin receiving the corresponding reimbursement rate increase.  However, a facility may choose to pay the 0.5% increase voluntarily.  Invoices can be found using the links below.

All claims paid at the prior QAF per diem reimbursement will be reprocessed for retroactive rate adjustments. Information pertaining to the implementation process (timeframe of payments/claims) will be periodically updated and posted on the ICF webpage.   

Please note that the Day Treatment Costs Payment section has been removed from the QAF quarterly payment invoices. Separate invoices will be mailed for  Day Treatment Costs Payments

DICF-DD Payment Invoices and the Annual Report Form

DICF-DD Payment Invoices and the Annual Report Form can be obtained through the following links: 

 Previous FY(s) DICF Payment Forms & Blank DICF Payment Form


Please make sure to enter your facility name, address, Office of Statewide Health Planning and Development (OSHPD) number, and National Provider Identification (NPI) number (where applicable) so that your payment will be credited to the correct account.

Provider bulletins and rates information is available on the Long Term Care Reimbursement webpage.  

Any questions about the QAF payments should be directed to:

Department of Health Care Services
Third Party Liability & Recovery Division
Quality Assurance Fee Program - MS 4720
P.O. Box 997425
Sacramento, CA  95899-7425
(916) 650-0583 Telephone
(916) 440-5671 Fax


Back to QAF Home Page 


Last modified date: 9/13/2019 2:34 PM