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HomeMy WebLinkAboutHeritage Rate Modification - A-25-273 - signed.pdf Revised ExhibitC—AttachmentA Page IofI INPATIENT PSYCHIATRIC MENTAL HEALTH SERVICES CONTRACTOR SCOPE OF WORK AND RATES Contractor Name: BHC Heritage Oaks Hospital, Inc dba Heritage Oaks Hospital Contract Term: July 1, 2025 through June 30, 2030 Contract Contact: Martin Gutierrez, Cell: 916-317-8359; Fax: 916-688-1217, e-mail: Martin.gutierrez@uhsinc.com Billing Contact: Wendy McClaine, Office: 916-489-3336 x2215; Fax: 916-489-1765 e-mail: Wendy.mcclaine@uhsinc.com Intake Contact: Sarah Kamarad, COO (916) 830-2229; Fax: (800) 217-6218 sarah.kamrad@uhsinc.com ECT Clinic(916)480-5115, FAX; (916) 596-2017 HeritageOaksECT@uhsinc.com Service Address: 4250 Auburn Blvd., Sacramento, CA 95841 Services: Acute Inpatient Psychiatric Services; Voluntary or Involuntary Ages Served: Adults Ages 18-64; Senior Adults 65+ Capacity: 125 Adult psychiatric beds Service Rates: Contract Inpatient Day Rate is inclusive of Physician/Professional Fees Short Doyle: Inpatient Day Rate: FY 25-26 FY 26-27 FY 27-28 FY 28-29 FY 29-30 Youth Inpatient Rate (excluding $1,191.35/day Professional Fees) Professional Fees $108.21/day Inclusive Rate (Inpatient plus $1299.56/day Professional Fees) Adult Inpatient Rate (excluding $1,191.35/day Professional Fees) Professional Fees $108.21/day Inclusive Rate (Inpatient plus $1299.56/day Professional Fees) Page 1 of 1 coU,� County of Fresno r Department of Behavioral Health 1856 Susan L. Holt FRE`j� Director of Behavioral Health Public Guardian July 17, 2025 Krystin Sommer BHC Heritage Oaks Hospital, Inc 4250 Auburn Blvd Sacramento, CA 95841 RE: Fiscal Year 2025-2026 Rates Dear Krystin Sommer, The County of Fresno, through its Department of Behavioral Health (Department) has executed Agreement No. 25-273 which was approved by the Board of Supervisors on June 24, 2025, for the provision of Inpatient Psychiatric Hospital services to Fresno County persons served eligible for such services under the Medi-Cal program. Pursuant to Article 13.1(B), "Modification" of Agreement No. A-25-273, County's Behavioral Health Director or designee is authorized to modify the rate under limited circumstances. The Department has modified Exhibit C — Attachment A "Contractor Scope of Work and Rates" to reflect your updated rates for Fiscal Year 2025-26, effective retroactive to July 1, 2025. This matches the negotiated rate between your facility and host county following Cal. Code Regs. tit. 9 § 1820.110. Enclosed please find Revised Exhibit C — Attachment A. If you, as the signing authority for BHC Heritage Oaks Hospital, Inc., accept the Revised Exhibit C-Attachment A, please sign and date below. If you have any questions, please contact Atreyu Chang, Staff Analyst, at (559) 600-6774 or achang@fresnocountyca.gov. Respectfully, Susan Holt(Jul 17,2025 10:17 PDT) Susan L. Holt, LMFT Director of Behavioral Health Kry;�i� sNy ttw 19/08/2025 Krystin Mmmer(Aug 19,202513:57:06 PDT) Date: Krystin Sommer, CEO 18/08/2025 Robinson Chyou(Aug 18,2025 11:28:36 PDT) Date: Robinson Chyou, CFO 1925 E. Dakota Ave. • Fresno, CA 93726 • PHONE: 559.600-9180 www.hopefresnocounty.com The County of Fresno is an Equal Employment Opportunity Employer Heritage Rate Modification - A-25-273 Final Audit Report 2025-08-19 Created: 2025-08-04 By: atreyu chang(achang@fresnocountyca.gov) Status: Signed Transaction ID: CBJCHBCAABAAt_1_bOkdvpKwvhohhDxBKRuJdCwallwc "Heritage Rate Modification - A-25-273" History Document created by atreyu chang (achang@fresnocountyca.gov) 2025-08-04-4:58:59 PM GMT y Document emailed to Martin Gutierrez (martin.gutierrez@uhsinc.com)for approval 2025-08-04-4:59:03 PM GMT Document emailed to Krystin Sommer(krystin.sommer@uhsinc.com) for signature 2025-08-04-4:59:03 PM GMT 'y Document emailed to Robinson Chyou (robinson.chyou@uhsinc.com) for signature 2025-08-04-4:59:03 PM GMT Email viewed by Robinson Chyou (robinson.chyou@uhsinc.com) 2025-08-04-4:59:33 PM GMT Email viewed by Krystin Sommer(krystin.sommer@uhsinc.com) 2025-08-04-6:56:33 PM GMT Email viewed by Martin Gutierrez (martin.gutierrez@uhsinc.com) 2025-08-04-6:57:14 PM GMT Document approved by Martin Gutierrez (martin.gutierrez@uhsinc.com) Approval Date:2025-08-06-7:56:40 PM GMT-Time Source:server Email viewed by Robinson Chyou (robinson.chyou@uhsinc.com) 2025-08-11 -5:03:12 PM GMT Email viewed by Krystin Sommer(krystin.sommer@uhsinc.com) 2025-08-11 -5:05:07 PM GMT Email viewed by Krystin Sommer(krystin.sommer@uhsinc.com) 2025-08-18-5:04:20 PM GMT Q Adobe Acrobat Sign Email viewed by Robinson Chyou (robinson.chyou@uhsinc.com) 2025-08-18-5:04:29 PM GMT Document e-signed by Robinson Chyou (robinson.chyou@uhsinc.com) Signature Date:2025-08-18-6:28:36 PM GMT-Time Source:server Document e-signed by Krystin Sommer(krystin.sommer@uhsinc.com) Signature Date:2025-08-19-8:57:06 PM GMT-Time Source:server Agreement completed. 2025-08-19-8:57:06 PM GMT Q Adobe Acrobat Sign