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HomeMy WebLinkAboutSierra Vista Rate Modification - A-25-272 - signed.pdf Revised ExhibitC—AttachmentA Page IofI INPATIENT PSYCHIATRIC MENTAL HEALTH SERVICES CONTRACTOR SCOPE OF WORK AND RATES Contractor Name: BHC Sierra Vista Hospital, Inc. dba Sierra Vista 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: Sarah Miranda, Office: 916-288.0415; Fax: 916-688-1217 E-mail: Sarah.Miranda@uhsinc.com Intake Contact: John Truong, COO (916) 288-0410; Fax: (916) 688-5440 John.Truong@uhsinc.com Service Address: 8001 Bruceville Road,Sacramento, CA 95823 Services: Acute Inpatient Psychiatric Services; Voluntary or Involuntary Ages Served: Adolescents Ages 13 - 17;Adults Ages 18-64; Senior Adults 65+ Capacity: 171 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 co County of Fresno Department of Behavioral Health Susan L. Holt FR�Cj Director of Behavioral Health Public Guardian July 17, 2025 Yannis Angouras BHC Sierra Vista Hospital, Inc. 8001 Bruceville Rd Sacramento, CA 95823 RE: Fiscal Year 2025-2026 Rates Dear Yannis Angouras, The County of Fresno, through its Department of Behavioral Health (Department) has executed Agreement No. 25-272 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-25-272, 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 Sierra Visa 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 Date: 18/08/2025 Yannis Angouras, CEO Karampal Singh(Aug 7,2025 10:37:29 PDT) Date: 07/08/2025 Karampal Singh, 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 Sierra Vista Rate Modification - A-25-272 Final Audit Report 2025-08-18 Created: 2025-08-04 By: atreyu chang(achang@fresnocountyca.gov) Status: Signed Transaction ID: CBJCHBCAABAA-VOxJGTIPFQeCgwMbHHQxNyaXmgQ84nz "Sierra Vista Rate Modification - A-25-272" History Document created by atreyu chang (achang@fresnocountyca.gov) 2025-08-04-4:53:29 PM GMT y Document emailed to Martin Gutierrez (martin.gutierrez@uhsinc.com)for approval 2025-08-04-4:53:33 PM GMT Document emailed to Yannis Angouras (yannis.angouras@uhsinc.com)for signature 2025-08-04-4:53:34 PM GMT 'y Document emailed to Karampal Singh (karampal.singh@uhsinc.com)for signature 2025-08-04-4:53:34 PM GMT Email viewed by Karampal Singh (karampal.singh@uhsinc.com) 2025-08-04-4:53:54 PM GMT Email viewed by Yannis Angouras (yannis.angouras@uhsinc.com) 2025-08-04-4:54:02 PM GMT Email viewed by Martin Gutierrez (martin.gutierrez@uhsinc.com) 2025-08-04-6:35:17 PM GMT Document e-signed by Karampal Singh (karampal.singh@uhsinc.com) Signature Date:2025-08-07-5:37:29 PM GMT-Time Source:server Email viewed by Yannis Angouras (yannis.angouras@uhsinc.com) 2025-08-11 -5:29:51 PM GMT Email viewed by Martin Gutierrez (martin.gutierrez@uhsinc.com) 2025-08-11 -9:03:45 PM GMT Email viewed by Yannis Angouras (yannis.angouras@uhsinc.com) 2025-08-18-4:56:54 PM GMT Q Adobe Acrobat Sign Email viewed by Martin Gutierrez (martin.gutierrez@uhsinc.com) 2025-08-18-4:57:02 PM GMT Document approved by Martin Gutierrez (martin.gutierrez@uhsinc.com) Approval Date:2025-08-18-4:57:31 PM GMT-Time Source:server Document e-signed by Yannis Angouras (yannis.angouras@uhsinc.com) Signature Date:2025-08-18-5:08:12 PM GMT-Time Source:server Agreement completed. 2025-08-18-5:08:12 PM GMT Q Adobe Acrobat Sign