Increased Medi-Cal Rates for Nursing Homes
Freestanding Nursing Facilities (NF-Bs)
Effective August 1, 2005, each facility has its own rate based on its costs and the AB 1629 rate scheme.
Pursuant to AB 1629 (Frommer, 2004), Medi-Cal is replacing the existing flat rate system for freestanding skilled nursing facilities with individualized rates for each facility. Under the flat rate system, Medi-Cal rates ranged from $107 to $139 per day depending on location and facility size. The new individualized rates are based on each facility's costs, plus a profit component. Many nursing homes are getting rate increases of $20 - $70 per day; about 200 skilled nursing facilities have tentative daily rates ranging from $160 to $211 per day. Some nursing homes’ rates have increased so much that they have raised private pay rates to keep pace.
A nursing home's interest in admitting Medi-Cal applicants is connected to its new rate. Rate increases vary substantially by facility. You can download facility specific rate information from Medi-Cal at: www.dhs.ca.gov/mcs/mcpd/RDB/LTCSDU/
Distinct Part NF-Bs
NF-Bs with Subacute Distinct Part
| Hospital Ventilator |
$614.11 |
| Freestanding Vent. |
Rates & QAF will be as per AB 1629. |
| Hospital Non-Vent. |
584.97 |
| Freestanding Non-Vent. | Rates & QAF will be as per AB 1629 |
Note -- Rates for subacutes, ICFs, ICF/DDs and other facilities have also changed. Contact CANHR if you need rates for a facility type not shown.
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