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​​​​​​​​​​​​​​​​Distinct Part Pediatric Subacute

DP/PSA 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 above document contains preliminary modeling for DP/PSA 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 the document. This draft does not update the Medi-Cal rate on file and is not intended for payment purposes or any other use 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”. ​

2025 Rates (Updated 3/4/2025)

Effective 1/1/2025 through 12/31/2025​

Service Type​​​
Value Code​​Value Code Amount
​​Revenue Code
​Per Diem
​​Rehab Therapy
​24
​83
​0199
​$89.37
​Vent Weaning
​24
​84
​0199
​$83.31
​Ventilator
​24
​85
​0190
​$1,461.99
​Non-Ventilator
​24
​86
​0190
​$1,342.66​

​​

Bed Hold/Leave of Absence Rates - Effective 1/1/2025 through 12/31/2025​

​​Service Type
​Value Code
​Value Code Amount
​​Revenue Code
Bed Hold/Leave of Absense Per Diem​
Ventilator​
​​24
​87
​0185
​$1,452.22
​​Non-Ventilator
​24
​88
​0185
​$1,332.89
​Ventilator
​24
​89
​0180
​$1,452.22
​​Non-Ventilator​
​24
​90
​0180
​$1,332.89​​

Notes:

  • The 2025 Calendar Year bed hold amount is $9.77. ​​

2024 Rates - Updated in Accordance with the LTC Claim Form and Code Conversion Data Elements​​

Effective 2/1/2024 through 12/31/2024

Service Type​​​
Value Code​​Value Code Amount
​​Revenue Code
​Per Diem
​​Rehab Therapy
​24
​83
​0199
​$85.64
​Vent Weaning
​24
​84
​0199
​$79.84
​Ventilator
​24
​85
​0190
​$1,375.00
​Non-Ventilator
​24
​86
​0190
​$1,259.58


Bed Hold/Leave of Absence Rates - Effective 2/1/2024 through 12/31/2024​

​​Service Type
​Value Code
​Value Code Amount
​​Revenue Code
Bed Hold/Leave of Absense Per Diem​
Ventilator​
​​24
​87
​0185
​$1,365.48
​​Non-Ventilator
​24
​88
​0185
​$1,250.06
​Ventilator
​24
​89
​0180
​$1,365.48
​​Non-Ventilator​
​24
​90
​0180
​$1,250.06​

Notes:

For more information, please visit LTC Claim Form and Code Conversion​​ webpage. ​​

2024 Rates - ​​​​Local Accommodation Codes​

Effective 1/1/2024 through 1/31/2024

​​​Serv​ice Type

 Accommodation Code Per Diem Bed Hold / Leave of Absence Accommodation Code
Bed Hold / Leave of Absence
Per Diem
Rehab Therapy
83
$85.64
n/a
n/a
Vent Weaning
84
$79.84
n/a
n/a
Ventilator
85
$1,375.00
87/89
$1,365.48
Non-Ventilator
86
$1,259.58
88/90
$1,250.06


 

DP/PSA Bridge Period Rates - Effective 8/1/2023 to 12/31/2023

​​​​Service Type

 Accommodation Code Per Diem Bed Hold / Leave of Absence Accommodation Code
Bed Hold / Leave of Absence
Per Diem
Rehab Therapy
83
$82.42
n/a
n/a
Vent Weaning
84
$76.84
n/a
n/a
Ventilator85
$1,322.07
87/89
$1,312.61
Non-Ventilator86
$1,210.45
88​/90
$1,200.99
​

Helpful Links

Freestanding Skilled Nursing Facilities and Subacute Units (ca.gov) 

​Contact Us

Please send questions regarding DP/PSA rates to LTCReimbursement@dhcs.ca.gov​​​​​​​

Last modified date: 10/3/2025 10:00 AM