Subacute Care Facilities
Adult Subacute Care
Subacute care providers are grouped into two statewide peer groups, one being hospital-based providers, and the other being freestanding nursing facility providers. These peer groups are further broken down into ventilator and non-ventilator-patient reimbursement categories. Providers comprising both peer groups are reimbursed their projected costs up to the median, regardless of whether reimbursement is for ventilator or non-ventilator patients.
DP/SA 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 23-0032.
CY 2026 Rates
CY 2026 Rate Study
The document contains the final model for DP-SA 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
CY 2026 Published Rates on File
CY 2025 & CY 2024 Rates
- CY 2025 DP/SA Rates – Effective 1/1/2025 – 12/31/2025 (published 10/22/2025)
- CY 2024 DP/SA Rates – Effective 2/1/2024 – 12/31/2024 (National Codes)
- CY 2024 DP/SA Rates – Effective 1/1/2024 – 1/31/2024 (Accommodation Codes)
Adult Freestanding Subacute Rates
Adult Freestanding Subacute Care rates are set by Freestanding Skilled Nursing Facilities and Subacute Units.