Natatanging Bahagi Pediatric Subacute
DP/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 23-0032.
Mga Rate ng CY 2026
CY 2026 Rate Study
Ang dokumento sa ibaba ay naglalaman ng pangwakas na modelo para sa mga rate ng DP / PSA CY 2026 alinsunod sa Medi-Cal Long-Term Care Reimbursement Act (Welfare & Institutions Code Section 14105) at ang California Medicaid State Plan (Attachment 4.19-D).
CY 2026 Rates Policy Letter
Mga Rate ng 2026 (Nai-update 10/31/2025)
Epektibo mula 1/1/2026 hanggang 12/31/2026
| Uri ng Serbisyo | Code ng Halaga | Halaga ng Code ng Halaga | Code ng Kita | Bawat Diem |
|---|---|---|---|---|
| Rehab Therapy | 24 | 83 | 0199 | $93.34 |
| Vent Weaning | 24 | 84 | 0199 | $87.01 |
| Bentilador | 24 | 85 | 0190 | $1,552.61 |
| Hindi-Ventilator | 24 | 86 | 0190 | $1,429.67 |
Bed Hold/Leave of Absence Rates – Effective 1/1/2026 through 12/31/2026
| Uri ng Serbisyo | Code ng Halaga | Halaga ng Code ng Halaga | Code ng Kita | Bed Hold / Leave of Absence Per Diem |
|---|---|---|---|---|
| Bentilador | 24 | 87 | 0185 | $1,542.66 |
| Hindi-Ventilator | 24 | 88 | 0185 | $1,419.72 |
| Bentilador | 24 | 89 | 0180 | $1,542.66 |
| Hindi-Ventilator | 24 | 90 | 0180 | $1,419.72 |
Mga Tala:
- Ang halaga ng paghawak ng kama sa 2026 Taon ng Kalendaryo ay $ 9.95.
2025 Rate (Na-update noong 3/4/2025)
Epektibo mula 1/1/2025 hanggang 12/31/2025
| Uri ng Serbisyo | Code ng Halaga | Halaga ng Code ng Halaga | Code ng Kita | Bawat Diem |
|---|---|---|---|---|
| Rehab Therapy | 24 | 83 | 0199 | $89.37 |
| Vent Weaning | 24 | 84 | 0199 | $83.31 |
| Bentilador | 24 | 85 | 0190 | $1,461.99 |
| Hindi-Ventilator | 24 | 86 | 0190 | $1,342.66 |
Bed Hold/Leave of Absence Rates – Effective 1/1/2025 through 12/31/2025
| Uri ng Serbisyo | Code ng Halaga | Halaga ng Code ng Halaga | Code ng Kita | Bed Hold/Leave of Absense Bawat Diem |
|---|---|---|---|---|
| Bentilador | 24 | 87 | 0185 | $1,452.22 |
| Hindi-Ventilator | 24 | 88 | 0185 | $1,332.89 |
| Bentilador | 24 | 89 | 0180 | $1,452.22 |
| Hindi-Ventilator | 24 | 90 | 0180 | $1,332.89 |
Mga Tala:
- Ang halaga ng 2025 Calendar Year bed hold ay $9.77.
2024 Rates – Updated in Accordance with the LTC Claim Form and Code Conversion Data Elements
Epektibo mula 2/1/2024 hanggang 12/31/2024
| Uri ng Serbisyo | Code ng Halaga | Halaga ng Code ng Halaga | Code ng Kita | Bawat Diem |
|---|---|---|---|---|
| Rehab Therapy | 24 | 83 | 0199 | $85.64 |
| Vent Weaning | 24 | 84 | 0199 | $79.84 |
| Bentilador | 24 | 85 | 0190 | $1,375.00 |
| Hindi-Ventilator | 24 | 86 | 0190 | $1,259.58 |
Bed Hold/Leave of Absence Rates – Effective 2/1/2024 through 12/31/2024
| Uri ng Serbisyo | Code ng Halaga | Halaga ng Code ng Halaga | Code ng Kita | Bed Hold/Leave of Absense Bawat Diem |
|---|---|---|---|---|
| Bentilador | 24 | 87 | 0185 | $1,365.48 |
| Hindi-Ventilator | 24 | 88 | 0185 | $1,250.06 |
| Bentilador | 24 | 89 | 0180 | $1,365.48 |
| Hindi-Ventilator | 24 | 90 | 0180 | $1,250.06 |
Mga Tala:
For more information, please visit LTC Claim Form and Code Conversion webpage.
2024 Rates – Local Accommodation Codes
Epektibo mula 1/1/2024 hanggang 1/31/2024
| Uri ng Serbisyo | Code ng Akomodasyon | Bawat Diem | Hawak sa kama / leave of absence Akomodasyon Code | Pag-hold sa Kama / Pag-iwan sa Pagliban Bawat Diem |
|---|---|---|---|---|
| Rehab Therapy | 83 | $85.64 | n/a | n/a |
| Vent Weaning | 84 | $79.84 | n/a | n/a |
| Bentilador | 85 | $1,375.00 | 87/89 | $1,365.48 |
| Hindi-Ventilator | 86 | $1,259.58 | 88/90 | $1,250.06 |
Mga Nakatutulong na Link
Freestanding Skilled Nursing Pasilidad at Subacute Units (ca.gov)
Makipag-ugnayan sa amin
Please send questions regarding DP/PSA rates to LTCReimbursement@dhcs.ca.gov