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February 2016 Client Update

Deadline Extended To Feb 29, 2016: New Facility Rate Add-On for Additional Cost(s) related to ACA Employer Shared Responsibility Mandate.

As part of the 2015-16 rate add-on negotiations with the Department of Health Care Services, DHCS has agreed to a rate add-on for both SNF and ICFs/DD, DD-H and DD-N for costs related to the Affordable Care Act (ACA).  

  • DHCS has created a certification process that employers must use to claim the specific add-on for these costs. 
  • The forms that employers must use have been uploaded to the Long Term Care Reimbursement Unit's webpage.

Click the link below for forms and instructions. There are also frequently asked questions (FAQs) related to the completion of the forms.

The UPDATED deadline to submit these forms is 2/29/16.

This certification process applies to employers with more than 100 full time employees starting in 2015, and employers with 50 or more full time employees starting in 2016. The Affordable Care Act add on for SNF's and ICFs-DD is $.54 per patient-day (ppd).

As always, don't hesitate to contact us with any questions.