Long Term Care NF-A and NF-B Billing Procedures

February 13, 2020

The Department of Health Care Services (DHCS) acknowledges that our billing system is not yet able to process nationally-recognized code procedures on Long Term Care (LTC) Nursing Facility Level A (NF-A) and Nursing Facility Level B (NF-B) service claims.

We are working to replace our California state-only LTC accommodation and patient status codes and our Payment Request for Long Term Care (25-1) claim form with the national revenue and patient discharge status codes and the UB-04 claim form as required by federal HIPAA regulations. This pending update requires extensive changes to our legacy claims computer system. DHCS plans to implement this LTC code conversion on or before June 30, 2021.

Meanwhile, our current NF-A/NF-B billing procedures are as described in the Payment Request for Long Term Care (25-1) Completion section in the Part 2 Long Term Care manual.