Skilled Nursing Facility Accountability Sanctions Program (ASP)
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.
For ASP program-related questions or concerns, please reach out to ASP support staff at
SNFASP@dhcs.ca.gov.
For additional information regarding other Nursing Facility Financing Reform programs authorized by AB 186, please see
Nursing Facility Financing Reform AB 186.
SNF ASP Policy Letter
On June 20, 2025, DHCS published the
SNF ASP Policy Letter 25-001 outlining the SNF ASP Appeals and Waivers processes. Public input is requested, and comments are due to DHCS on July 11, 2025.
SNF ASP FAQs
On March 26, 2025, DHCS released a FAQs document addressing common questions regarding the program.
SNF ASP Webinar
Next Meeting:
Please call +1 279-895-6425 and enter phone conference ID: 134 273 094#
To request to speak during the public comment period, please press *5.
Past Meetings:
June 27, 2025, Presentation Materials
October 21, 2024 Presentation Materials
AB 186 E-mail Distribution List
This e-mail service (ListServ) has been created so interested stakeholders can receive relevant updates on the AB 186 programs (ASP, WQIP, and WSP).
Sign up for the e-mail distribution list.
