​​​​​​​​​​​​​Medi-Cal Long-Term Care Reimbursement

The California Department of Health Care Services (DHCS) Fee For Service Rates Development Division establishes Medi-Cal reimbursement rates for the following long-term care (LTC) facilities:

The above web links contains preliminary modeling for CY 2026 LTC rates in accordance to the California Medicaid State Plan (Attachment 4.19-D). Please see the disclaimer included in the documents. The drafts do not update the Medi-Cal rate on file and is not intended for payment purposes or any other use. Final CY 2026 rates may materially differ from these models​​ 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”.​

The Medi-Cal LTC reimbursement rates are established under the authority of Title XIX of the federal Social Security Act. The specific methodologies are described in the California State Plan, Attachment 4.19-D. ​​

​​​​Workforce Standards Program​

The Workforce Standards Program (WSP) for FS/NF-B and FS/SA facilities is now live. Please visit the WSP website​ for more information.​

CalAIM Long-Term Care Carve-In Transition

Under CalAIM, Medi-Cal managed care plans (MCPs) will cover and coordinate Medi-Cal institutional LTC in all counties in 2023 in a phased approach by facility type.

Detailed information about the transition can be found on the CalAIM Long Term Care Carve-In Transition webpage.​​

Please see the following All Plan Letters for requirements applying to MCPs: