Reimbursement Rates

Current rates, or ranges of rates, are listed for Community-Based Day Programs and Respite Programs, Community Care (residential) Facilities, Long-Term Care Facilities, and for services covered by the Medi-Cal Schedule of Maximum Allowances (SMA).

Community Care Facilities (Residential)
Lists the rates paid for consumers living in residential facilities based on the facility service level. Effective July 1, 2016, the rate schedule includes rates for both facilities vendored for five beds or more and facilities vendored for a maximum of four beds.

January 2016 | July 2016 | January 2017 | January 2018 | January 2019 | May 2019 | January 2020

Community-Based Day Programs and Respite Agencies PDF
Lists the allowable range of rates and the temporary payment rates for activity centers, adult development centers, behavior management programs, independent living programs, social recreation programs, infant development programs and in-home respite services agencies.
Long-Term Care Rate Table
For information on Long Term Care rates please visit the Medi-Cal website.
Transportation Rates PDF
Basic Rate information on transportation services.
Work Activity and Supported Employment Programs Rates PDF
Service Codes 950, 952 and 954.
All Other Non-Residential Services Rates PDF
Specifies the rate methodology for all other non-residential services.
Medi-Cal
California Department of Health Care Services’ Medi-Cal Schedule of Maximum Allowances (SMA). Regulations require regional centers to reimburse providers of services listed in the schedule at rates no higher than the rates specified in the SMA.
Other Rates
  • Respite under Service Codes 420, 465, and 864 – The rate is $17.03 per hour, effective January 1, 2020.
  • Financial Management Services, FEA – Service Code 490 – The maximum rates are $45.88 per consumer per month for one Participant-Directed Service, $71.37 per consumer per month for two or three Participant-Directed Services, or $96.86 per consumer per month for four or more Participant-Directed Services, effective July 1, 2016.
  • Financial Management Services, Co-Employer – Service Code 491 – The maximum rate is $96.86 per month, effective July 1, 2016.
  • Participant-Directed Community-Based Training Services Service Code 475 – The rate is $16.22 per hour, effective January 1, 2020.
  • Non-Mobile Supplemental Staffing – The supplemental rate for Community-Based Day Programs is:
    • $1.56 per hour, effective January 1, 2020 for service codes 505 and 525
    • $1.68 per hour, effective January 1, 2020 for services codes 510 and 515
Frequently Asked Questions
This page contains answers to the most frequently asked questions regarding reimbursement rates for services provided to persons with developmental disabilities.

Last modified: December 23, 2019