獨立技術護理設施及初急病單位
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.
勞動力標準專案
根據國會條例草案(AB)186(2022 年第 42 章法規)和州計劃修訂(SPA)24-0004,DHCS 已建立了 2024 年 CY 開始的勞動力標準計劃(WSP)。參與 WSP 的設施將獲得增強的每日費率,包括勞動力率調整。 不參加 WSP 的設施將收到基本每日費率。
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 年度的選擇加入期從 6 月開始1,2026 到 8 月3,2026 。
請訪問 WSP 網站了解有關該計劃的更多信息。
2026 年度費率
2026 年度費率研究
本文件包含根據 Medi-Cal 長期護理補償法 (Welfare& Institutions Code Section 14105) 和加州聯邦醫療保險州計劃 (Attachment 4.19-D) 制定的 2026 年 CY 級獨立專業護理設施 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。
CY 2026年利率政策函
CY 2026 已公布的檔案費率
2025 年新加坡元匯率
2025 年財政年度費率研究
CY 2025 Rates Policy Letters
CY 2025 Published Rates on File
2024 年加元匯率
2024 年財政年度費率研究
2024年度國家/新西國家/中國家/北部分類比
2024 年前台灣時段費率 /新西國家/北方式速度重計算
2024 年度財政年度綜合福利率研究
2024 年財政年度公平租金價值制度
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 年財政年度利率政策信函
2024 年財政年度已公佈的檔案費率
2023 年加元匯率
2023 年財政年度費率研究
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.
有關適用於 MCP 的要求,請參閱以下所有計劃信件:
- 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
加州醫療補助健康保健計劃 COVID-19 PHE 審計
《議會條例草案》(AB)81(2020 年第 13 章)和福利和機構守則(WIC)第 14126.032 條規定 DHCS 審核與 COVID-19 公共衛生緊急事故(PHE)相關的獨立技術護理設施 B 級(FS/NF-B)和成人獨立的副急性設施(FSSA)的成本和收入,以確定設施是否充分利用與 COVID-19 PHE 相關的增加醫療保險支付根據第 14126.032 (a) 條所定義的病人照顧。
Detailed information about the program, audit process, and reporting schedules can be found on the COVID-19 PHE Audits website.
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請將您有關本網頁上的任何主題的問題發送至:AB1629@dhcs.ca.gov