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Hospital Details
Policy Effective Date (Date Posted):
2014-2015 (Most Recent)
2012-2013 (6/25/2012)
2010-2011 (5/6/2010)
2008-2009 (6/18/2008)
2008-2009 (6/18/2008)
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Download:
Policy File
Download:
Application File
General Information
Hospital:
PACIFIC GROVE HOSPITAL
5900 BROCKTON AVENUE
RIVERSIDE, CA 92506
http://www.rcbm.com
License:
Acute Psychiatric Hospital
Total Beds:
68
Emergency Room:
Yes
more...
Contact:
Amrita Rai
(951) 275-8400
OSHPD ID:
106331226
Fair Pricing Policy Information
Show FPL Chart
Policy Effective Date:
3/5/2008
Download:
Policy File
Federal Poverty Level for Free Care:
100%
Discount Payment Effective Date:
3/5/2008
Discount Payments
Discount Payment
1
FPL Range:
101
%-
250
%
Payment Basis:
Other: 50% of the Medicare rate
Discount Payment
2
FPL Range:
251
%-
350
%
Payment Basis:
Medicare
Discount Payment
3
FPL Range:
0
%-
0
%
Payment Basis:
Other Discount Payment Information:
Application Form Information
Application Form Eff Date:
6/25/2012
Download:
Application File
Income Type Used:
Salary Received
Interest Received
Language Information
Available Languages:
English
Additional Information
Family
Size
100%
150%
200%
250%
300%
350%
400%
