Distinct Part Nursing Facilities, Level B (DP/NF-B)
The facilities comprising this category are distinct parts of acute care hospitals and are paid a rate set at the lower of the individual facility’s projected cost or the median projected cost for the category. Facilities with less than 20 percent Medi-Cal utilization are excluded from the establishment of the median projected cost.
DP/NF-B 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 2027 Rates
CY 2027 Rate Study
The document contains the final model for DPNF-B 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 contains the final model for DPNF-B 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 Rate Study
CY 2025 & CY 2024 Rates on File
- CY 2025 DP/NF-B Rates – Effective 1/1/2025 – 12/31/2025 (Published 3/25/2026)
- CY 2024 DP/NF-B Rates – Effective 2/1/2024 – 12/31/2024 (National Codes)
- CY 2024 DP/NF-B Rates – Effective 1/1/2024 – 1/31/2024 (Accommodation Codes)
State operated facilities shall be reimbursed their costs as reflected in their cost reports, in accordance with the provisions of the California Medicaid State Plan, Attachment 4.19-D, using individual audit data for adjustments. These costs are not to be included in the calculation of the class median rate for all other DP/NF-B facilities.