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This version of the form is not currently in use and is provided for reference only. Download this version of
Form DHCS9116
for the current year.
Form DHCS9116 Freestanding Nursing Facility, Level-B (Fs / Nf-B) and Freestanding Adult Subacute Nursing Facility (Fs Asa / Nf-B), Freestanding Pediatric Subacute, Level-B (Fs Psa / Nf-B) Quality Assurance Fee - California
What Is Form DHCS9116?
This is a legal form that was released by the California Department of Health Care Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is a DHCS9116?
A: A DHCS9116 is a form for a freestanding nursing facility in California.
Q: What is a Freestanding Nursing Facility, Level-B (Fs/Nf-B)?
A: A Freestanding Nursing Facility, Level-B is a type of healthcare facility that provides skilled nursing and supportive care to residents.
Q: What is a Freestanding Adult Subacute Nursing Facility (Fs Asa/Nf-B)?
A: A Freestanding Adult Subacute Nursing Facility is a specialized nursing facility that provides care to patients who are not quite sick enough to be in a hospital, but still require medical services.
Q: What is a Freestanding Pediatric Subacute, Level-B (Fs Psa/Nf-B)?
A: A Freestanding Pediatric Subacute, Level-B is a specialized nursing facility that provides care to pediatric patients who require medical services.
Q: What is the Quality Assurance Fee?
A: The Quality Assurance Fee is a fee paid by healthcare facilities to support quality improvement efforts and ensure access to care for Medi-Cal beneficiaries.
Q: Who pays the Quality Assurance Fee?
A: Healthcare facilities, such as nursing homes, pay the Quality Assurance Fee.
Q: What is the purpose of the Quality Assurance Fee?
A: The purpose of the Quality Assurance Fee is to support quality improvement efforts and ensure access to care for Medi-Cal beneficiaries.
Q: Is the Quality Assurance Fee mandatory?
A: Yes, the Quality Assurance Fee is mandatory for healthcare facilities subject to the fee requirements.
Q: Is the Quality Assurance Fee applicable only in California?
A: Yes, the Quality Assurance Fee applies only to healthcare facilities in California.
Q: What is the purpose of Form DHCS9116?
A: The purpose of Form DHCS9116 is to document and report information related to freestanding nursing facilities and the Quality Assurance Fee in California.
Form Details:
- Released on March 1, 2020;
- The latest edition provided by the California Department of Health Care Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form DHCS9116 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.
