Skip Navigation LinksApp-Request-SNF-ICF-QAF

State of Cal Logo

State of California—Health and Human Services Agency
California Department of Public Health

​Application Request for a

Skilled Nursing Facility or Intermediate Care Facility

Notice - Quality Assurance Fee Program


The Department of Health Care Services recommends to facilities that apply for a Change of Ownership with California Department of Public Health (CDPH) to further review the information and collection process on the Quality Assurance Fee (QAF) program website.

Unpaid QAF shall become the liability of the purchaser. For information regarding a specific facility, the current owner must provide to the Department of Health Care Services authorization to release information before the facility will be discussed with the purchaser. Any questions should be addressed to John Beshara at (916) 650-6559.

Health and Safety Code Sections 1324.20 through 1324.30 authorize the Department of Health Care Services (DHCS) to implement a Quality Assurance Fee (QAF) program for Freestanding and Skilled Nursing Facility Level-B (FS/NF
B) and Freestanding Skilled Adult Subacute Nursing Facilities (FSSA/NF-B). The QAF is imposed on all FS/NF-B and FSSA/NF-B, except those that are exempt pursuant to Health and Safety Code Section 1324.20(b).

Sections 1324 through 1324.14 of the Health and Safety Code govern the QAF imposed on Intermediate Care Facilities for the Developmentally Disabled (ICF-DD), Habilitative (ICF/DD-H) and Nursing (ICF/DD-N).

The purpose of the QAF program is to provide additional reimbursement for, and to support quality improvement efforts in, the above listed facilities. The QAF is assessed on each facility on an annual basis irrespective of any changes in ownership, interest or control, or the transfer of any portion of the assets of a facility to another.

Page Last Updated :