CHA News Article

DHCS Updates Administrative Day Rates

The Department of Health Care Services (DHCS) has updated the statewide administrative day rates, including the rates for distinct-part nursing facilities level B (DP/NF-B), effective for the following dates of service:

Effective Date

Reimbursement Rate

Aug. 1, 2012

$416.95

Aug. 1, 2013

$415.95

Providers should bill using the new rates immediately for dates of services on or after the dates indicated above. Providers do not need to rebill to adjust their payments. Xerox, the fiscal intermediary for DHCS, will process any retroactive rate adjustments for claims paid at the old rate for services provided on or after the above dates. A DP/NF-B of an acute care hospital will receive the lesser of its projected costs, or the DP/NF-B median rate. Acute care hospitals without a DP/NF-B will receive the maximum administrative day rate indicated above.

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