独立专业护理设施和亚急性病房
Medi-Cal reimbursement rates for Freestanding Skilled Nursing Facilities Level-B (FS/NF-B) and Adult Freestanding Subacute Facilities Level-B (FSSA/NF-B) are updated each calendar year (CY) using a cost-based facility-specific methodology pursuant to Supplement 4 of Attachment 4.19-D of the California Medicaid State Plan.
劳动力标准计划
根据议会法案 (AB) 186（2022 年法规第 42 章）和州计划修正案 (SPA) 24-0004，DHCS 已从 2024 日历年开始制定劳动力标准计划 (WSP)。参与 WSP 的设施将享受包括劳动力费率调整在内的增强的每日津贴率。 未参与 WSP 的设施将享受基本每日津贴率。
The CY 2024 and CY 2025 Rate Studies display both each facility’s basic and enhanced per diem. DHCS is processing WSP opt-ins on a batch basis and updating CY 2024 and CY 2025 Rates on File to reflect the facility’s participation in WSP. DHCS published the latest batch of updated Rates on File reflecting WSP opt-ins in July 2025 and further batches will be published soon. Facilities continue to receive the CY 2023 Rates on File until updated CY 2024 and CY 2025 Rates on File are published.
2027 财年的选择期从 6 月开始1,2026 到 8 月3,2026 。
请访问WSP 网站以获取有关该计划的更多信息。
2026 学年费率
2026 财年费率研究
本文件包含根據 Medi-Cal 長期護理償付法案 (Welfare& Institutions Code Section 14105) 和加州醫療補助州政府計劃 (Attachment 4.19-D) 制定的 2026 年度獨立專業護理設施 B 級 (FS/NF-B) 和成人獨立療養設施 B 級 (FSSA/NF-B) 費率的最終模式。
2026 财年费率政策信函
2026 财年已公布的档案费率
2025 年利率
2025 年利率研究
CY 2025 Rates Policy Letters
CY 2025 Published Rates on File
2024 年利率
2024 年利率研究
2024 年 FS/SNF-B 利率研究
2024 年 FS/SNF-B 利率重新计算
2024 年 FSSA 利率研究
2024年公平租赁价值体系
The CY 2024 rate studies calculate both the basic and enhanced per diem rates for each facility. Facilities that participate in the WSP will receive the enhanced per diem rate including the Workforce Rate Adjustment. Facilities that do not participate in the WSP will receive the basic per diem rate.
2024 年利率政策函
2024 年已公布利率
2023 年利率
2023 年利率研究
CY 2023 Rates Policy Letters
- LTC Rates Policy Letter 23-001: FS/NF CY 2023 Rates
- LTC Rates Policy Letter 23-002: Change in Ownership Rates
CY 2023 Published Rates on File
- CY 2023 FS/SNF-B Rates on File (updated 3/14/2025)
- CY 2023 FS/SA Rates on File (updated 3/14/2025)
Managed Care Plan Carve-In
Under CalAIM, Medi-Cal managed care plans (MCPs) will cover and coordinate Medi-Cal institutional Long-Term Care (LTC) in all counties in 2023 in a phased approach by facility type. Please see CalAIM Long-Term Care Carve-In Transition for additional information.
请参阅以下所有计划函以了解适用于 MCP 的要求：
- APL 24-009, Skilled Nursing Facilities — Long Term Care Benefit Standardization and Transition of Members to Managed Care
- APL 24-010, Subacute Care Facilities — Long Term Care Benefit Standardization and Transition of Members to Managed Care
Medi-Cal COVID-19 PHE 审计
议会法案 (AB) 81（2020 年法令第 13 章）和福利和机构法典 (WIC) 第 14126.032 节要求 DHCS 审计与 COVID-19 公共卫生紧急情况 (PHE) 相关的独立专业护理机构 B 级 (FS/NF-B) 和成人独立亚急性机构 (FSSA) 的成本和收入，以确定机构是否充分利用了与 COVID-19 PHE 相关的增加的 Medi-Cal 付款来支持患者护理的提供，如第 14126.032(a) 节所定义。
Detailed information about the program, audit process, and reporting schedules can be found on the COVID-19 PHE Audits website.
联系我们
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