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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 Rate Study

The document below contains the final model 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). 

​CY 2026 Rates Policy Letter

2026 Rates (Updated 10/31/2025)

Effective 1/1/2026 through 12/31/2026

Service Type
Value CodeValue Code AmountRevenue CodePer Diem
Rehab Therapy​
24830199$93.34
Vent Weaning24840199$87.01
Ventilator24850190$1,552.61
Non-Ventilator24860190$1,429.67


Bed Hold/Leave of Absence Rates - Effective 1/1/2026 through 12/31/2026

Service TypeValue CodeValue Code AmountRevenue CodeBed Hold/Leave of Absence Per Diem
Ventilator24870185$1,542.66
Non-Ventilator24880185$1,419.72
Ventilator24890180$1,542.66
Non-Ventilator24900180$1,419.72

Notes:

  • ​The 2026 Calendar Year bed hold amount is $9.95.

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


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: 10/31/2025 9:55 AM