HCAI Syfphr

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Policy Effective Date (Date Posted):

Download: Policy File

Download: Application File

General Information

Hospital:

RIVERSIDE UNIVERSITY HEALTH SYSTEM - D/P APH

9990 COUNTY FARM ROAD
RIVERSIDE, CA 92503
http://www.ruhealth.org

License:

General Acute Care Hospital
Total Beds: 77
Emergency Room: Yes
more... Link to Atlas

Contact:

MISP - Patient Accounts
(951) 486-4623

OSHPD ID:

106331314

Fair Pricing Policy Information Show FPL Chart

Policy Effective Date:

1/1/2007

Download:

Federal Poverty Level for Free Care:

100%

Discount Payment Effective Date:

1/1/2007

Discount Payments

FPL Range: 101%-350%
Payment Basis:
Other: Sliding scale discount

FPL Range: 0%-0%
Payment Basis:

FPL Range: 0%-0%
Payment Basis:

Other Discount Payment Information:

Application Form Information

Application Form Eff Date:

1/1/2007

Download:

Income Type Used:

Salary Received
Interest Received
Pension Received

Language Information

Available Languages:

English
Spanish

Additional Information

Updates to the attached HW 200 Financial Assistance Programs was revised to include the 22/23 income guidelines

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