HCAI Syfphr

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Policy Effective Date (Date Posted):

Download: Policy File

Download: Application File

General Information

Hospital:

CALIFORNIA REHABILITATION INSTITUTE, LLC

2070 CENTURY PARK EAST
LOS ANGELES, CA 90067
https://www.californiarehabinstitute.com/

License:

General Acute Care Hospital
Total Beds: 138
Emergency Room: Yes
more... Link to Atlas

Contact:

Admissions Department
424-522-7100

OSHPD ID:

106190155

Fair Pricing Policy Information Show FPL Chart

Policy Effective Date:

9/1/2022

Download:

Federal Poverty Level for Free Care:

200%

Discount Payment Effective Date:

9/1/2022

Discount Payments

FPL Range: 201%-400%
Payment Basis:
Other: May be eligible for a partial write-off.

FPL Range: 0%-0%
Payment Basis:

FPL Range: 0%-0%
Payment Basis:

Other Discount Payment Information:

Application Form Information

Application Form Eff Date:

1/1/2022

Download:

Income Type Used:

Salary Received
Interest Received
Pension Received
Other: See policy section II.A for definition.

Language Information

Available Languages:

English
Spanish
Other: Farsi. Translations to other languages on request.

Additional Information

Family Size	100%	150%	200%	250%	300%	350%	400%