OJAI VALLEY COMMUNITY HOSPITAL

OJAI VALLEY COMMUNITY HOSPITAL
1306 MARICOPA HIGHWAY
OJAI, CA  93023
http://www.cmhhospital.com

Contact:

Terry Ellis
(805) 652-5036

License:

General Acute Care Hospital
Total Beds:  25
Emergency Room:  Yes

OSHPD ID:

106560501

Fair Pricing Policy Information  

Policy Effective Date:6/28/2011

Download:

Policy File

PDF Document Icon

Federal Poverty Level for Free Care:

200%

Discount Payment Effective Date:6/28/2011

Discount Payments:

Discount Payment 1

FPL Range: 201%-300%
Payment Basis:
Other: lesser of 25% of charges or Medicare IP DRG

Discount Payment 2

FPL Range: 301%-500%
Payment Basis:
Other: lesser of 40% of charges or Medicare IP DRG

Discount Payment 3

FPL Range: 0%-0%
Payment Basis:

Other Discount Payment Information:

Application Form Information

Application Form Eff Date:6/29/2011

Download:

Application File

PDF Document Icon

Income Type Used:

Salary Received
Interest Received
Pension Received
Other: Property Income, Alimony, Unemployment

Language Information

Available Languages:

English
Spanish

Source” : https://syfphr.oshpd.ca.gov/SearchDetail.aspx?oshpdid=106560501

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