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 DP / PSA Final Rate Study (Nai-update 10/31/2025)

CY 2026 Rates Policy Letter

• CY 2026 DP / PSA Final 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 PaglibanBawat 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