Administrative Day Rate Level 1
Administrative days are inpatient stay days for recipients who no longer require acute hospital care and are awaiting placement in a nursing home or other subacute or post-acute care.
In accordance with California Code of Regulations, title 22, sections 51542 and 51511, a DP/NF-B of an acute care hospital will receive the lesser of its projected costs or the DP/NF-B median rate as their Administrative Day rate.
Acute care hospitals without a DP/NF-B will receive the DP/NF-B median rate.
Below is the DP/NF-B Median rate for each year, including the temporary increased reimbursement for the COVID-19 emergency:
|
Rate Year |
Rate |
CY 2024
| $704.86 |
2023
Bridge Period**
| $704.86 |
2022-23 (5/12/2023)
| $704.86
|
2022-23 Temporary COVID-19 Emergency Increased Median
| $761.82
|
| 2021-22 Temporary COVID-19 Emergency Increased Median | $693.00 |
| 2020-21 Temporary COVID-19 Emergency Increased Median | $626.60 |
| 2019-20 Temporary COVID-19 Emergency Increased Median | $626.52 |
| 2019-20 | $569.54 |
| 2018-19 | $514.95 |
| 2017-18 | $487.57 |
| 2016-17 | $489.28 |
| 2015-16 | $443.73 |
| 2014-15 | $415.85 |
| 2013-14 | $415.95 |
| 2012-13 | $416.95 |
| 2011-12 | $416.95 |
| 2010-11 | $409.48 |
* Includes temporary COVID-19 emergency increase calculated effective 3/1/2020.
** 2023 Bridge Period covers date of service (8/1/2023-12/31/2023).
Effective May 11, 2023, the public health emergency declared for the United States expires. The Department is posting an update on the Long Term Care Reimbursement webpage to inform providers of the expiration of the emergency period and the corresponding expiration of the additional reimbursement.
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