Freestanding Pediatric Subacute
Freestanding Pediatric Subacute (FS/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 23-0028.
2025 Rates (Updated 3/4/2025)
Effective 1/1/2025 through 12/31/2025
Rehab Therapy
| 24
| 97
| 0199
| $94.23
|
Vent Weaning
| 24
| 98
| 0199
| $87.86
|
Ventilator
| 24
| 91
| 0190
| $1,353.10
|
Non-Ventilator
| 24
| 92
| 0190
| $1,234.74
|
Bed Hold/Leave of Absence Rates - Effective 1/1/2025 through 12/31/2025
Ventilator
| 24
| 93
| 0185
| $1,343.33
|
Non-Ventilator
| 24
| 94
| 0185
| $1,224.97
|
Ventilator
| 24
| 95
| 0180
| $1,343.33
|
Non-Ventilator
| 24
| 96
| 0180
| $1,224.97
|
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
Rehab Therapy
| 24
| 97
| 0199
| $90.30
|
Vent Weaning
| 24
| 98
| 0199
| $84.20
|
Ventilator
| 24
| 91
| 0190
| $1,316.13
|
Non-Ventilator
| 24
| 92
| 0190
| $1,198.56
|
Bed Hold/Leave of Absence Rates - Effective 2/1/2024 through 12/31/2024
Ventilator
| 24
| 93
| 0185
| $1,306.61
|
Non-Ventilator
| 24
| 94
| 0185
| $1,189.04
|
Ventilator
| 24
| 95
| 0180
| $1,306.61
|
Non-Ventilator
| 24
| 96
| 0180
| $1,189.04
|
Notes:
2024 Rates - Local Accommodation Codes
Effective 1/1/2024 through 1/31/2024
Rehab Therapy
| 97
| $90.30
| n/a
| n/a
|
Vent Weaning
| 98
| $84.20
| n/a
| n/a
|
Ventilator
| 91
| $1,316.13
| 93/95
| $1,306.61
|
Non-Ventilator
| 92
| $1,198.56
| 94/96 | $1,189.04
|
Helpful Links
Freestanding Skilled Nursing Facilities and Subacute Units (ca.gov)
Contact Us
Please send questions regarding FS/PSA rates to LTCReimbursement@dhcs.ca.gov
