Medi-Cal 长期护理报销
加州卫生保健服务部 (DHCS) 服务收费标准制定部为以下长期护理 (LTC) 机构制定了 Medi-Cal 报销费率：
- 独立熟练护理 B 级和成人亚急性率和政策。
- Freestanding Pediatric Subacute (FS/PSA) Rates and Policy
- 不同部分儿科亚急性 (DP/PSA) 率和政策
- Distinct Part Skilled Nursing Facilities (DP/NF-B) Rates and Policy
- 成人亚急性病房 (DP/SA) 费用及政策
- Intermediate Care Facilities – Developmentally Disabled – Habilitative – Nursing (ICF/DD-H-N) Rates and Policy
- Nursing Facilities – Level A (NF-A) Rates and Policy
- 乡村摇摆床 (RSB) 费率和政策
- 过渡性住院护理行政日 - 1 级（行政日）费率和政策
- 临终关怀费用及政策
Medi-Cal LTC 报销率是根据联邦社会保障法第十九条的授权制定的。 具体方法在加州州计划附件 4.19-D 中描述。
劳动力标准计划
The Workforce Standards Program (WSP) for FS/NF-B and FS/SA facilities is now live. Please visit the WSP website for more information.
CalAIM 长期护理附加条款过渡
根据 CalAIM，Medi-Cal 管理式医疗计划 (MCP) 将于 2023 年分阶段按设施类型覆盖和协调所有县的 Medi-Cal 机构 LTC。
Detailed information about the transition can be found on the CalAIM Long Term Care Carve-In Transition webpage.
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
- APL 24-011 ICF/DD – LTC Benefit Standardization and Transition of Members to Managed Care
联系我们
请将有关 FS/NF-B 和 FS/SA 费率的问题发送至AB1629@dhcs.ca.gov 。
Please send questions regarding other LTC rates to LTCReimbursement@dhcs.ca.gov.