Life Plan/CCRC

DHCS Sending Erroneous QAF Statements to CCRCs

In the past few weeks, at least three LeadingAge California CCRC member communities have received a notification letter from the Department of Health Care Services [DHCS] that the SNF must pay the per bed Quality Assurance Fee [QAF].  LeadingAge California has been successful in obtaining a correction in the DHCS database so that members will no longer receive these notices.

CCRCs and multi-level communities are exempt from paying the QAF on the statutory authority of Health and Safety Code §1324.20:

Health and Safety Code §1324.20(a) (1) “Continuing care retirement community” means a provider of a continuum of services, including independent living services, assisted living services as defined in paragraph (5) of subdivision (a) of Section 1771, and skilled nursing care, on a single campus, that is subject to Section 1791, or a provider of such a continuum of services on a single campus that has not received a Letter of Exemption pursuant to subdivision (d) of Section 1771.3.

(c) (1) “Exempt facility” means a skilled nursing facility that is part of a continuing care retirement community, a skilled nursing facility operated by the state or another public entity, a unit that provides pediatric subacute services in a skilled nursing facility, a skilled nursing facility that is certified by the department for a special treatment program and is an institution for mental disease as defined in Section 1396d(i) of Title 42 of the United States Code, or a skilled nursing facility that is a distinct part of a facility that is licensed as a general acute care hospital.

If your community has received such a letter, please send a scanned copy of your Certificate of Authority to Brenda Klutz.  Brenda will work with DHCS to remove your community from the list of SNFs required to pay the QAF.

If you have any questions, please contact Brenda at: or (916) 469-3377.