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Medi-Cal Rate Add-On

Tiffany Karlin

June 03, 2020

As a follow-up to our post from mid-May in response to the COVID-19 outbreak, the Department of Health will temporarily provide an additional 10% reimbursement for LTC per diem rates effective March 1, 2020.

Providers should begin to bill at the temporarily increased rates established by the Department.

Rate information as follows:

SNF

Subacute

Distinct Part Pediatric

Freestanding Pediatric Subacute

Once updated rates have been implemented in the system to pay prospectively, the Department will run a subsequent Erroneous Payment Correction, retroactive to dates of service on or after March 1, 2020. Retroactive payment adjustments to March 1, 2020 will be made automatically by the fiscal intermediary, so no additional action will be necessary on the providers’ part. 

Upon expiration of the public health emergency or national emergency, whichever occurs first, LTC reimbursements will revert back to their original 2019-20 Rate Year levels.

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