MedicaidReimbursementMedium impact
Skilled Nursing Facility (SNF) Services Agreement Amendment
L.A. Care Health Plan·CA · General Practice·Provider Communication
Effective date
May 1, 2024
We identified it
Jun 20, 2026
Summary
L.A. Care has implemented new rate tiers for Skilled Nursing Facility (SNF) services effective May 1, 2024, with over 100 SNF partners already signed. The insurer is updating systems to capture new rates and has established monthly cutoff dates (15th of each month) to reduce retroactive claims processing.
Action Required
By May 15, 2024 (and 15th of each subsequent month): SNF billing teams must ensure their facility has signed the Services Agreement Amendment to maintain current effective dates. Monitor for potential claims processing delays during the transition period and contact L.A. Care account manager for any authorization or claims issues. Unsigned amendments received after monthly cutoff will have delayed effective dates.