Freestanding Nursing Facilities - Level A
Freestanding Nursing Facilities - Level A (NF-A). Reimbursement for NF-A services is equal to the median of each peer group. Facilities are organized geographically into three peer groups; (1) Los Angeles County, (2) San Francisco Bay Area Counties include: San Francisco, Marin, Alameda, Contra Costa, Santa Clara, San Mateo, Napa, Sonoma and (3) All other counties. Effective August 2, 2003, NF-A facilities that received a rate of $89.54 in Rate Year 2002 and have licensed bed capacities of 100+, will continue to receive this rate until their prospective county rate exceeds $89.54. Once exceeded, these facilities will receive a calculated prospective county rate.
NF-A 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.
NF-A Rates
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 NF-A services will revert to the RY 2022-23 annual per diem rates.
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