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, as approved in State Plan Amendment 23-0032.

CY 2027 Rates

CY 2027 Rate Study

The document contains the model for DP-SA CY 2027 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 2027 DP-SA Rate Study (Updated 10/30/2026) 

CY 2027 Rates Policy Letter

• CY 2027 DP-SA Policy Letter 27-005 

CY 2027 Published Rates on File

• CY 2027 DP-SA Final Rates on File (published 10/30/2026) 

CY 2026 & CY 2025 Rates

• CY 2026 DP-SA Final Rates on File (published 10/31/2025)

• CY 2025 DP/SA Rates – Effective 1/1/2025 – 12/31/2025 (published 10/22/2025)

Adult Freestanding Subacute Rates

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

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