Proposition 56 Supplemental Payment for Freestanding Pediatric Subacute Facilities
Overview
This program provides a time-limited
supplemental payment for eligible Freestanding Pediatric Subacute (FS/PSA)
facilities. The supplemental reimbursement is a fixed amount and provided in
addition to the base per diem rates for these services.
Distinct Part Pediatric Subacute
facilities, Freestanding Adult Subacute facilities, and Distinct Part Adult
Subacute facilities are not eligible to receive the supplemental payment.
Methodology
The supplemental payment amount for FS/PSAs
is a fixed amount of $132.92 for Ventilator and Non-Ventilator services and
will be paid per claim, in addition to the current per diem rates for eligible
claim submissions made for the following Accommodation Codes:
Accommodation Code | Description |
Supplemental Payment Per Diem |
|---|
91 |
Ventilator rate |
$132.92 |
92 |
Non-Vent rate |
$132.92 |
93 & 95 |
Ventilator rate less the bedhold/leave of absence rate |
$132.92 |
94 & 96 |
Non-Ventilator rate less the bedhold/leave of absence rate |
$132.92 |
The Centers for Medicare & Medicaid
Services approved the continuation of time-limited supplemental reimbursement
program for eligible services provided to Medi-Cal beneficiaries, effective August
1, 2019 through December 31, 2021.
Current Materials
