加州醫療補助健康保健計劃長期照護報銷
加州Department of Health Care Services (DHCS)服務費率開發部門制定了以下長期照護 (LTC) 設施的加州醫療補助健康保健計畫報銷率：
- 獨立技能護理 B 級和成人亞急性率和政策。
- Freestanding Pediatric Subacute (FS/PSA) Rates and Policy
- 獨特部分兒科副急性 (DP/PSA) 率及政策
- Distinct Part Skilled Nursing Facilities (DP/NF-B) Rates and Policy
- 獨立部分成人半急性單位（DP/SA）費率和政策
- Intermediate Care Facilities – Developmentally Disabled – Habilitative – Nursing (ICF/DD-H-N) Rates and Policy
- Nursing Facilities – Level A (NF-A) Rates and Policy
- 農村搖擺床 (RSB) 費率及政策
- 過渡性住院護理行政日 — 第 1 級（行政日）費率和政策
- 安寧療護費率和政策
加州醫療補助健康保健計劃 LTC 報銷率是根據聯邦社會保障法第十九章的授權確定的。 具體方法在加州計劃附件 4.19-D 中進行了描述。
勞動力標準專案
The Workforce Standards Program (WSP) for FS/NF-B and FS/SA facilities is now live. Please visit the WSP website for more information.
卡拉艾姆長期護理入境轉型
根據 CalAIM， Medi-Cal Managed Care計劃 (MCP) 將在 2023 年按設施類型分階段涵蓋和協調所有縣的加州醫療補助健康保健計劃機構 LTC。
Detailed information about the transition can be found on the CalAIM Long Term Care Carve-In Transition webpage.
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
- APL 24-011 ICF/DD – LTC Benefit Standardization and Transition of Members to Managed Care
聯絡我們
請將有關 FS/NF-B 和 FS/SA 費率的問題發送至 AB1629@dhcs.ca.gov。
Please send questions regarding other LTC rates to LTCReimbursement@dhcs.ca.gov.