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Previous Years Rates for Intermediate Care Facilities

2017.18 Comprehensive Rate List

Below is a comprehensive LTC rate list of the 2017-18 Final Rate, Supplemental Per Diem, and the total LTC reimbursement rates. The 2017-18 Final Rate includes the 3.7 percent rate increase, applicable add-ons, and the Quality Assurance Fee.  Providers should continue to bill the 2017-18 Final Rate in accordance with the Medi-Cal Provider Manual. The respective peer group supplemental payment amount will be automatically added to the claim payment by our Fiscal Intermediary, Conduent State Healthcare, LLC, for every claim that is billed for dates of service August 1, 2017 through July 31, 2018.

2017.18 Intermediate Care Facilities Supplemental Payment Per Diem Amounts

ICF/DD Supplemental Payment Per Diem Amounts

Facility
Peer Group
LTC Accommodation Code
(Regular Services)
Bedhold Accommodation Code Supplemental Payment Per Diem
ICF/DD  41 (1-59 beds) 43 $15.47
ICF/DD  41 (60+ beds) 43 $0.00
ICF/DD-H  61 (4-6 beds) 63 $10.75
ICF/DD-H  65 (7-15 beds) 68 $0.00
ICF/DD-N  62 (4-6 beds) 64 $12.47
ICF/DD-N  66 (7-15 beds) 69 $22.30

•  Note that facilities in peer groups in which the unfrozen 2017-18 65th percentile rate is lower than the current reimbursement rate will not receive the supplemental payment.   

2017.18 Intermediate Care Facilities Amended Rates

The Department amended the 2017-18 reimbursement rates effective for dates of service on or after August 1, 2017. 

The reimbursement rates were amended due to an adjustment to the Affordable Care Act (ACA) Employer Shared Responsibility add-on amount. These rates supersede the original rates below and are only for the facilities that submitted a certification form.   

2017.18 Intermediate Care Facilities Rates 

The Department updated the 2017-18 reimbursement rates effective for dates of service on or after August 1, 2017. 

The following rates are for all facilities by peer group and are the rates for the facilities that did not submit a certification form.  

The following rates include the additional facility-specific add-on related to the ACA Employer Shared Responsibility Mandate and the ACA IRS Employer Reporting Mandate.  These rates are only for the facilities that submitted either or both the ACA Mandate forms.