Earlier editions: 2020-112018-11
DIVISION 9. PUBLIC SOCIAL SERVICES 10000-18999.98›PART 3. AID AND MEDICAL ASSISTANCE 11000-15771›CHAPTER 7. Basic Health Care 14000-14199.97›ARTICLE 5.231. Medi-Cal Hospital Reimbursement Improvement and Restoration Act of 2013 14169.81-14169.83
§ 14169.81
California Welfare and Institutions Code · 2026 edition · updated 2026-10-04 · California
(a) Notwithstanding Sections 14105.191 and 14105.192, reimbursement for services provided by skilled nursing facilities that are distinct parts of general acute care hospitals shall be determined, for dates of service on or after October 1, 2013, without application of the reductions and limitations set forth in Sections 14105.191 and 14105.192.
(b) For dates of service on or after January 1, 2024, the department shall adopt a rate year based on the calendar year for skilled nursing facilities that are distinct parts of general acute care hospitals, including subacute care units.
(c) In implementing this section, the department shall seek any federal approvals it deems necessary. This section shall be implemented only to the extent that any necessary federal approvals are obtained and federal financial participation is available and is not otherwise jeopardized.
(d) Notwithstanding Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code, the department may implement this section by means of provider bulletins or notices, policy letters, or other similar instructions, without taking regulatory action.
(Amended by Stats. 2023, Ch. 42, Sec. 155. (AB 118) Effective July 10, 2023.)
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