AB 835: Medi-Cal: skilled nursing facility services.

The Medi-Cal program, which provides health care services to low-income individuals, has a long-term care reimbursement act that requires managed care plans to establish a workforce and quality incentive program. This program allows network providers of skilled nursing facility services to earn performance-based directed payments from the managed care plan. The proposed bill would remove the requirement that providers be within the network to receive these payments. Instead, payments would be retroactively calculated and paid based on the total number of days the facility provided services to Medi-Cal beneficiaries, effective July 9, 2024.