Long-Term Care Reimbursement AB 1629
The Long-Term Care (LTC) System Development Unit establishes the Medi-Cal reimbursement rates for Freestanding Skilled Nursing Facilities Level-B (FS/NF-B), Adult Freestanding Subacute Facilities Level-B (FSSA/NF-B), NF-Bs designated as Institutions for Mental Diseases (IMD), Distinct Part Pediatric Subacute (DP/PSA) and Freestanding Pediatric Subacute Facilities Level B (FS/PSA).
Nursing Facility Financing Reform (AB 186)
Information related to the Nursing Facility Financing Reform programs
has moved to a new webpage.
Registration for the next stakeholder webinar being held on November 18, 2022 is now open!
2022 April QASP Awards Available
Update: July 7, 2022
The Department submitted State Plan Amendment (SPA) 22-0011 for federal approval of the Quality and Accountability Supplemental Payment (QASP) program period of calendar year 2022. The QASP award payments are generally paid to eligible facilities by April 30th of the program year, contingent on federal approval. For the 2022 program period, the awards will be divided by the following service periods:
January 1, 2022 through June 30, 2022,
July 1, 2022 through September 30, 2022, and
October 1, 2022 through December 31, 2022
The total pool of funds of $78 million for the
calendar year 2022 program period will be prorated over the three service periods listed above, with $39 million for the January 1, 2022
through June 30, 2022 service period and $19.5 million for each of the remaining two service periods.
Award payments for the service period of
January 1, 2022
through June 30, 2022 were issued May
2022, and are available on the
Quality and Accountability Payment Program page.
SNF COVID-19 Revenue and Cost Record Retention
To ensure compliance with Welfare and Institutions Code (WIC) § 14126.032 requirements regarding use of revenues associated with the COVID-19 Public Health Emergency, DHCS reminds facilities to retain records regarding such revenues and related costs. Pursuant to WIC § 14126.032:
(b) For purposes of implementing this section, a skilled nursing facility that received increased Medicaid payments described in subdivision (a) shall disclose, at the time and in the form and manner specified by the department, any information requested by the department relating to costs and revenues associated with the COVID-19 Public Health Emergency. This may include, but is not limited to, documentation of any grant, loan, payment or other revenue received by the facility pursuant to any federal or state law related to the COVID-19 Public Health Emergency.
Temporary Increased Reimbursement to LTC Facilities for COVID-19
Update: June 24, 2021
Due to the Coronavirus disease (COVID-19) outbreak, a public health emergency (PHE) was declared for the United States on January 31, 2020, and a national emergency was declared under the Stafford Act on March 13, 2020. In response to the COVID-19 outbreak, the Department of Health Care Services (DHCS) will temporarily provide an additional 10% reimbursement for LTC per diem rates. DHCS received federal approval of SPA 20-0024, effective March 1, 2020, which authorizes temporary additional reimbursement for eligible LTC facilities during the emergency period related to the COVID-19 outbreak.
In order for providers to receive the additional reimbursement they should bill at the temporarily increased rates established by DHCS. The temporary increased rates for each facility by NPI number can be found at the bottom of this webpage. Retroactive payment adjustments to March 1, 2020 will be made automatically by the fiscal intermediary, so no additional action will be necessary on the providers' part.
Upon expiration of the PHE or national emergency, whichever occurs first, LTC reimbursements will revert back to their regular facility-specific levels. DHCS will post an update on this webpage to inform providers of the expiration of the emergency period and the corresponding expiration of the additional reimbursement.
Additional Medi-Cal information and updates related to the COVID-19 outbreak may be found on the
DHCS COVID-19 Response website.
2022 AB 1629 Public Health Emergency Survey
Updated: February 7, 2022
DHCS is conducting a PHE survey to measure the increased costs that LTC providers experienced due to the COVID-19 outbreak. This voluntary survey compares 4th quarter operation costs for Calendar Year (CY) 2019, 2020, and 2021.
DHCS requests the participation of the below list of facility types:
This survey can be completed using the below survey link. All completed surveys and inquiries related to the survey can be submitted to the AB1629@dhcs.ca.gov email address. Please include “2022 AB 1629 PHE Survey" in the subject line of your email.
The deadline to submit a completed survey is July 15, 2022.
FYE 2020 Supplemental COVID Audits
Update: June 24, 2021
Pursuant to Assembly Bill (AB) 81 (Chapter 13, Statutes of 2020), the funds received by FS/NF-B and FSSA/NF-B skilled nursing facilities associated with the COVID-19 PHE may be subject to audit by DHCS.
In addition to the notice provided by AB 81, this is to provide notice that Welfare and Institutions Code section 14126.032 requires DHCS to audit FS/NF-B and FSSA/NF-B costs and revenues that are associated with the COVID-19 PHE to determine whether a facility has adequately used increased Medi-Cal payments associated with the COVID-19 PHE to support the delivery of patient care. DHCS may recoup any amounts of the increased Medi-Cal payments associated with the COVID-19 PHE that DHCS finds were not used for allowable costs.
Please send your questions regarding any topic on this webpage to: AB1629@dhcs.ca.gov
In order to comply with the Americans with Disabilities Act (ADA), all Excel spreadsheet documents for RY 2019-20 have been locked. To unlock a 2019-20 worksheet, go to the Review tab at the top of the page and click Unprotect Sheet.