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 2026 Rates
CY 2026 Rates Studies Public Review Draft
The below document contains preliminary modeling 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). Please see the disclaimer included in each document. This draft does not update the Medi-Cal rate on file and is not intended for payment purposes or any other use. Final CY 2026 rates may materially differ from this modeling based on changes on corrections to underlying data, changes necessary to obtain federal approval, and other changes deemed appropriate in DHCS's sole discretion. DHCS requests any comments or feedback no later than October 17, 2025. For any questions or comments, please email LTCreimbursement@dhcs.ca.gov with the subject line “CY 2026 Rates Public Review Draft”.
Annual Rates
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.
Related pages:
Rural Swing Bed
Administrative Day
Return to Long Term Care Reimbursement Home
