​​​​​​​​​Subacute Care Facilities

Adult Subacute Care

Subacute care providers are grouped into two statewide peer groups, one being hospital-based providers, and the other being freestanding nursing facility providers.  These peer groups are further broken down into ventilator and non-ventilator-patient reimbursement categories. Providers comprising both peer groups are reimbursed their projected costs up to the median, regardless of whether reimbursement is for ventilator or non-ventilator patients.

DP/SA 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.​

Distinct Part Adult Subacute Rates​

• CY 2024 Distinct Part Adult Subacute Rates​ - Effective 2/1/2024​​ - 12/31/2024​​ (Converted National Codes)
  
• ​CY 2024 Distinct Part Adult Subacute Rates​ - Effective 1/1/2024​ - 1/31/2024​ (Local Accommodation Codes)​​​​​
  
• ​2023 Bridge Period Distinct Part Adult Subacute Rat​es​ - Effective 8/1/2023 - 12/31/2023​​​​​​
• 2022-23 Distinct Part Adult Subacute Rates - Effective 5/12/2023
• 2022-23 Distinct Part Adult Subacute Temporary COVID-19 Increased Rates - Effective 8/1/2022​​​

​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 Distinct Part Adult Subacute​ services will revert to the RY 2022-23 annual per diem rates.​​

Adult Freestanding Subacute Rates

Adult Freestanding Subacute Care rates are set by Freestanding Skilled Nursing Facilities and Subacute Units​​​​.​