​​​​​​​​​​​​​​​​​​​​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 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 DP/NF-B Final Rate Study (Updated 10/31/2025)​​​

​CY 2026 Rates Policy Letter

• ​CY 2026 DP/NF-B Final Policy Letter​​   
  

CY 2025 Rate Study

• ​CY 2025 DP/NF-B Rate Study Final - Effective 1/1/2025 - 12/31/2025 (published 10/22/2025)​​
  

CY 2025 & CY 2024 Rates on File

• ​​CY 2025 DP/NF-B Rates - Effective 1/1/2025 - 12/31/2025 (Published 10/22/2025)​​​​
• 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)​
  

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​​​​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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