​​​​​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, pending federal approval in State Plan Amendment 23-0032.​​

• CY 2024 DP​NF-B Rates​ - Effective 2/1/2024 - 12/31/2024​​ (Converted National Codes)​​
• CY 2024 DP​NF-B Rates​ - Effective 1/1/2024 - 1/31/2024​ (Local Accomodation Codes)​​
  
• ​2023 Bridge Period DPNF-B R​ates​ - Effective 8/1/2023 - 12/31/2023​
  
• 2022-23 DPNF-​B Rates​ - Effective 5/12/2023​
  
• 2022-23 DPNF-B Temporary COVID-19 Emergency Increased Ra​tes​​​​​ - Effective 8/1/2022​​​
  

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.

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Related pages:

Rural Swing Bed
Administrative Day
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