LANGLEY PORTER PSYCHIATRIC INSTITUTE

LANGLEY PORTER PSYCHIATRIC INSTITUTE
401 PARNASSUS AVENUE
SAN FRANCISCO, CA  94143
http://psych.ucsf.edu/lpphc.aspx

Contact:

Ashwini Batchu
(415) 476-7000

License:

Acute Psychiatric Hospital
Total Beds:  56
Emergency Room:  Yes

OSHPD ID:

106380868

Fair Pricing Policy Information  

Policy Effective Date:1/1/2015

Download:

Policy File

PDF Document Icon

Federal Poverty Level for Free Care:

199%

Discount Payment Effective Date:1/1/2015

Discount Payments:

Discount Payment 1

FPL Range: 301%-350%
Payment Basis:
Medicare

Discount Payment 2

FPL Range: 251%-300%
Payment Basis:
Other: 50% of Medicare prevailing rate

Discount Payment 3

FPL Range: 201%-250%
Payment Basis:
Other: 75% of Medicare prevailing rate

Other Discount Payment Information:

Additional consideration included for essential living expense deductions as mandated by SB 1276.

Application Form Information

Application Form Eff Date:1/1/2015

Download:

Application File

PDF Document Icon

Income Type Used:

Salary Received
Interest Received
Pension Received
Other: W2 income from previous year, expense proof

Language Information

Available Languages:

English
Other: Interpreter services available in Spanish, Russian

Additional Information

Document updated to be in compliance with SB 1276


Source” : https://syfphr.oshpd.ca.gov/SearchDetail.aspx?oshpdid=106380868

Was this article helpful?

Related Articles