Freestanding Pediatric Subacute
Freestanding Pediatric Subacute (FS/PSA) reimbursement will shift from an August to July rate year basis to a calendar rate year basis, effective January 1, 2024, as approved in State Plan Amendment 23-0028.
CY 2027 Rates
CY 2027 Rate Study
The document contains the final model for FS/PSA CY 2027 rates in accordance with the Medi-Cal Long-Term Care Reimbursement Act (Welfare & Institutions Code Section 14105) and the California Medicaid State Plan (Attachment 4.19-D). Please see the disclaimer included in the document.
CY 2027 Public Review Rate Studies contain preliminary modeling of calendar year (CY) 2027 facility rates and are provided for public review only. These drafts do not update the Medi-Cal rates on file and are not intended for payment purposes or any other use. Final CY 2027 rates may materially differ from those outlined in the Public Review Rate Studies based on changes or corrections to underlying data, changes necessary to obtain federal approval, and other updates deemed appropriate per DHCS’s discretion. Please see the disclaimers included at the beginning of each Public Review document for additional details.
DHCS encourages facilities to carefully review their relevant rate studies and verify the accuracy of their reported costs, particularly those that serve as the foundation for rate development (e.g., capital costs, labor costs, non-labor expenses, etc.).
DHCS requests any comments or feedback no later than October 16, 2026. For any questions or comments, please email LTCReimbursement@dhcs.ca.gov with the subject line “CY 2027 Rates Public Review Draft.”
CY 2026 Rates
CY 2026 Rate Study
The document below contains the final model FS/PSA CY 2026 rates in accordance with the Medi-Cal Long-Term Care Reimbursement Act (Welfare & Institutions Code Section 14105) and the California Medicaid State Plan (Attachment 4.19-D).
CY 2026 Rates Policy Letter
2026 Rates (Updated 10/31/2025)
Effective 1/1/2026 through 12/31/2026
| Service Type | Value Code | Value Code Amount | Revenue Code | Per Diem |
|---|---|---|---|---|
| Rehab Therapy | 24 | 97 | 0199 | $98.42 |
| Vent Weaning | 24 | 98 | 0199 | $91.76 |
| Ventilator | 24 | 91 | 0190 | $1,439.37 |
| Non-Ventilator | 24 | 92 | 0190 | $1,317.42 |
Bed Hold/Leave of Absence Rates – Effective 1/1/2026 through 12/31/2026
| Service Type | Value Code | Value Code Amount | Revenue Code | Bed Hold / Leave of Absence Per Diem |
|---|---|---|---|---|
| Ventilator | 24 | 93 | 0185 | $1,429.42 |
| Non-Ventilator | 24 | 94 | 0185 | $1,307.47 |
| Ventilator | 24 | 95 | 0180 | $1,429.42 |
| Non-Ventilator | 24 | 96 | 0180 | $1,307.47 |
Notes:
- The 2026 Calendar Year bed hold amount is $9.95.
2025 Rates (Updated 3/4/2025)
Effective 1/1/2025 through 12/31/2025
| Service Type | Value Code | Value Code Amount | Revenue Code | Per Diem |
|---|---|---|---|---|
| Rehab Therapy | 24 | 97 | 0199 | $94.23 |
| Vent Weaning | 24 | 98 | 0199 | $87.86 |
| Ventilator | 24 | 91 | 0190 | $1,353.10 |
| Non-Ventilator | 24 | 92 | 0190 | $1,234.74 |
Bed Hold/Leave of Absence Rates – Effective 1/1/2025 through 12/31/2025
| Service Type | Value Code | Value Code Amount | Revenue Code | Bed Hold / Leave of Absence Per Diem |
|---|---|---|---|---|
| Ventilator | 24 | 93 | 0185 | $1,343.33 |
| Non-Ventilator | 24 | 94 | 0185 | $1,224.97 |
| Ventilator | 24 | 95 | 0180 | $1,343.33 |
| Non-Ventilator | 24 | 96 | 0180 | $1,224.97 |
Notes:
- The 2025 Calendar Year bed hold amount is $9.77.
2024 Rates – Updated in Accordance with the LTC Claim Form and Code Conversion Data Elements
Effective 2/1/2024 through 12/31/2024
| Service Type | Value Code | Value Code Amount | Revenue Code | Per Diem |
|---|---|---|---|---|
| Rehab Therapy | 24 | 97 | 0199 | $90.30 |
| Vent Weaning | 24 | 98 | 0199 | $84.20 |
| Ventilator | 24 | 91 | 0190 | $1,316.13 |
| Non-Ventilator | 24 | 92 | 0190 | $1,198.56 |
Bed Hold/Leave of Absence Rates – Effective 2/1/2024 through 12/31/2024
| Service Type | Value Code | Value Code Amount | Revenue Code | Bed Hold / Leave of Absence Per Diem |
|---|---|---|---|---|
| Ventilator | 24 | 93 | 0185 | $1,306.61 |
| Non-Ventilator | 24 | 94 | 0185 | $1,189.04 |
| Ventilator | 24 | 95 | 0180 | $1,306.61 |
| Non-Ventilator | 24 | 96 | 0180 | $1,189.04 |
Notes:
- For more information, please visit LTC Claim Form and Code Conversion webpage.
2024 Rates – Local Accommodation Codes
Effective 1/1/2024 through 1/31/2024
| Service Type | Accommodation Code | Per Diem | Bed Hold / Leave of Absence Accommodation Code | Bed Hold / Leave of Absence Per Diem |
|---|---|---|---|---|
| Rehab Therapy | 97 | $90.30 | n/a | n/a |
| Vent Weaning | 98 | $84.20 | n/a | n/a |
| Ventilator | 91 | $1,316.13 | 93/95 | $1,306.61 |
| Non-Ventilator | 92 | $1,198.56 | 94/96 | $1,189.04 |
Helpful Links
Freestanding Skilled Nursing Facilities and Subacute Units (ca.gov)
Contact Us
Please send questions regarding FS/PSA rates to LTCReimbursement@dhcs.ca.gov