MedicaidCoverageHigh impact
23-1344 Required: Ensure Subacute Care Facilities Are Contracted With the DHCS Subacute Contracting Unit
Health Net·CA · Family Medicine, Internal Medicine, General Practice·Provider News
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Summary
Effective January 1, 2024, Medi-Cal managed care plans must ensure that members needing subacute care services are placed only in facilities contracted with DHCS Subacute Contracting Unit. Facilities not contracted with DHCS SCU cannot receive Medi-Cal subacute care reimbursement and must have applied by December 15, 2023.
Action Required
Immediately: Verify all subacute care facility referrals are to DHCS SCU-contracted facilities using the Medi-Cal Subacute website provider list. Update referral protocols to check contractor status before placement. For facilities not contracted with DHCS SCU, contact via email to request application immediately. Claims for subacute care at non-contracted facilities will be denied.