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.
The public health emergency for the COVID-19
outbreak expired on May 11, 2023. Thus, effective May 12, 2023, the COVID-19
increased reimbursement will cease, and reimbursement rates for Distinct Part Nursing Facility Level-B, Rural Swing Bed and Administrative Day services will revert to the RY 2022-23 annual per diem 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
