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Home My WebLink AboutA-25-291 Exhibit A and Exhibit B.pdf Exhibit A-III List of Contractors CONTRACTOR EXHIBIT REFERENCE 1. Discovery Practice Management, Inc. d.b.a. Center for Discovery Contact: Katie Barrett Exhibit B-2 Address: 18401 Von Karman Ave, Suite 500, Irvine, CA 92612 2. Oasis Eating Disorder Recovery, A Professional Psychology Corporation Contact: Alicia Alva Exhibit B-4 Address: 1791 E Fir Ave, Suite 103, Fresno, CA 93720 3. BHC Alhambra Hospital, Inc. d.b.a. BHC Alhambra Hospital Contact: Brett Graves Exhibit B-7 Address: 4619 Rosemead Blvd, Rosemead, CA 91770 4. Central Star Behavioral Health, Inc. Contact: Kent Dunlap Exhibit B-8 Address: 1501 Hughes Way, Suite 150, Long Beach, CA 90810 A-1 DISCOVERY Exhibit B-2 Behaviofal Health April 7,2023 Re:Usual and Customary Rate Increase Notification Dear Payer Partner, We recently completed a rate analysis.Due to these findings our usual and customary rates will be increasing.Rates will be effective May 15,2023. The following are daily rates. Usual and Customary Rates(UCR)are as follows: Eating Disorder(ED)IP-$3,800.00,RTC-$3,026.00,PEP-$1,790.00,IOP-$1,194.00 Mental Health(ME)RTC-$2,390.00,PHP-$1,394.00,IOP-$995.00 Dual Diagnosis(DD)RTC-$1,790.00,PHP-$995.00 These per diem rates are all inclusive with the exception of Professional Fees,Rx,Labs,& Emergency Medical Rev Codes used are RTC-1001,PHP-912,IOP-905. Discounted Rates for Counties and States Nationwide: Eating Disorder(ED)IP-$2,850.00,RTC-$1,988.00,PHP-$1,241.00,IOP-$580.00 Mental Health(MH)RTC-$1,491.00,PHP-$910.00,IOP-$496.00 Dual Diagnosis(DD)RTC-$1,241.00,PHP-$638.00 These per diem rates are all inclusive with the exception of Professional Fees,Rx,Labs,& Emergency Medical Rev Codes used are RTC-1001,PHP-912,IOP-905. re ards, Maggie Gustilo Director of Payer Relations&Strategy Discovery Practice Management,Inc. 18401 Von Karman Ave Suite 500 Irvine,CA 92612 Direct:714.568.7667 18401 Von Karman Ave Suite 500 1 Irvine,CA 92612 www.CenterForDiscovery.com 1 714.828.1800 Center for Discovery - Facility List - CA Only Exhibit B-2 ID for ALL facilities is 95-4628972 Corporate, Correspondence,&Billing Address Facility Address County Phone Fax Current Service(s) Size NPI License JCAHO Discovery Practice Management,Inc. 4281 Katella Ave.,Ste 111 Orange Center for Discovery, Los Alamitos,CA 90720- Admissions:714-730-1961 Admissions:714-388-3894 Correspondence& Business License Los Alamitos 3588 Office:714-828-1800 Office:714-882-1186 Billing Address N/A 1912075689 Lic.#01605413 150964 3t ED/MH RTC Facilities Facility Address County Phone Fax Current Service(s) Size NPI License 1CAHO ED/MH:RTC,PHP Center for Discovery, 212 La Questa Dr. Contra Costa Admissions:714-710-1961 Admissions:714-388-3894 Child,Adol,&Adult, Congregate Living Danville Danville,CA 94526-3511 House:925-718-8187 House:925-718-8196 Ages 10-18 6 1902287378 Lic.#550002919 150964 ED:RTC,PHP Center for Discovery, 4421 Carmel Valley Rd. San Diego Admissions:714-710-1961 Admissions:714-388-3894 Adol&Adult Women, Congregate Living Del Mar San Diego,CA 92130-2409 House:858-509-4802 House:858-509-4782 Ages16+ 6 1 1346621711 Lic.#550002860 150964 ED:RTC,PHP Center for Discovery, 46890 Rancho Higuera Rd. Alameda Admissions:714-710-1961 Admissions:714-388-3894 Adol&Adult Women, Congregate Living Fremont Fremont,CA 94539-7308 House:510-573-3828 House:510-573-1836 Ages16+ 6 1750762118 Lic.#550001930 150964 ED:RTC,PHP Center for Discovery, 2115 Las Palomas Orange Admissions:714-710-1961 Admissions:714-388-3894 Child,Adol,&Adult, Congregate Living La Habra La Habra,CA 90631-7761 House:562-690-3360 House:562-690-9855 Ages 10-18 6 1548641921 Lic.#550001575 150964 ED/MH:RTC,PHP Center for Discovery, 3013 Woodford Dr. San Diego Admissions:714-710-1961 Admissions:714-388-3894 Adol,Adult,& Congregate Living La Jolla La Jolla,CA 92037-3549 House:858-412-3554 House:858-412-3541 Geriatrics,Ages 16+ 6 1265813646 Lic.#550000153 150964 ED:RTC,PHP Center for Discovery, 4136 Ann Arbor Rd. Los Angeles Admissions:714-710-1961 Admissions:714-388-3894 Child,Adol,&Adult, Congregate Living Lakewood Lakewood,CA 90712-3817 House:562-425-7418 House:562-425-1698 Ages10-18 6 1710253604 Lic.#980001602 150964 1895 Altschul Ave. ED/MH:RTC,PHP Center for Discovery, Menlo Park,CA 94025- San Mateo Admissions:714-710-1961 Admissions:714-388-3894 Child,Adol,&Adult, Congregate Living Menlo Park 6515 House:650-561-9995 House:650-561-9990 Ages10-18 6 1194106567 Lic.#550000127 150964 ED:RTC,PHP Center for Discovery, 30175 Avenida Tranquila Los Angeles Admissions:714-710-1961 Admissions:714-388-3894 Adol&Adult Women, Congregate Living Rancho Palos Verdes RPV,CA 90275-4516 House:310-377-3200 House:310-377-3144 Ages16+ 6 1639550098 Lic.#980001355 150964 5422 Cavitt Stallman Rd. ED:RTC,PHP Congregate Living Center for Discovery, Granite Bay,CA 95746- Sacramento Admissions:714-710-1961 Admissions:714-388-3894 Adol&Adult Women, Lic.#550003433 Sacramento 9491 House:916-771-3680 House:716-771-3693 Ages16+ 6 1851753339 150964 228 Rimrock Rd. ED:RTC/PHP Congregate Living Center for Discovery, Thousand Oaks,CA 91361- Ventura Admissions:714-710-1961 Admissions:714-388-3894 Adol&Adult Women Lic.#550003758 Thousand Oaks 5203 House:805-419-5772 House:805-419-5772 Ages16+ 6 1942745286 150964 &MH/DD RTC Facilities Facility Address County Phone Fax Current Service(s) Size NPI License JCAHO State of CA Dept of Center for Discovery, 425 E.31st St. Los Angeles MH/DD/CD/:RTC,PHP Social Services Resilience Long Beach,CA 90807- Admissions:714-710-1961 Admissions:714-388-3894 Child&Adol,Ages 10- Group Home Atlantic 5005 House:562-981-0700 House:562-981-0809 17 6 1669853032 Lic.#198207221 150964 State of CA Dept of Center for Discovery, 2324 Windy Springs Ln. MH:RTC,PHP Social Services Resilience Brentwood,CA 94513- Contra Costa Admissions:714-710-1961 Admissions:714-388-3894 Child&Adol,Ages 10- Group Home Brentwood 5318 House:925-308-4149 House: 925-684-4064 17 6 11487002747 Lic.#075650136 150964 State of CA Dept of 795 Eden Plains Rd. Contra Costa MH:RTC,PHP Social Services Center for Discovery, Brentwood,CA 94513- Admissions:714-710-1961 Admissions:714-388-3894 Child&Adol,Ages 10- Group Home Brentwoodll 2838 House:925-241-4013 House: 17 6 1093212102 Lic.#075650142 150964 a e ot CA Depto Center for Discovery, San MH:RTC,PHP Social Services Resilience 2062 Hunter Rd. Bernardino Admissions:714-710-1961 Admissions:714-388-3894 Child&Adol,Ages 10- 1992257737 Group Home Chino Hills Chino Hills,CA 91709-5218 House:909-532-8821 House:925-684-4064 17 6 Lic.#366427914 150964 MH:RTC,PHP State of CA Dept of Center for Los Angeles Child&Adol,Ages 10- Social Services Discovery,ResiIience 9844 Pangborn Ave. Admissions:714-710-1961 Admissions:714-388-3894 17, Adult Women, Group Home Downey Downey,CA 90240-3534 House:562-622-1083 House:562-622-1173 Ages18 6 1689930596 Lic.#197806866 150964 MH:RTC,PHP State of CA Dept of Center For Discovery, Fresno Child&Adol,Ages 10- Social Services Resilience 214 W.Bluff Ave. Admissions:714-710-1961 Admissions:714-388-3894 17 Adult Women,Ages Group Home Fresno Fresno,CA 93711-6930 House: House: 18 6 TBD Lic.# 150964 State of CA Dept of Center for Discovery, 350 West Wardlow Rd. Social Services Los Angeles 1063893154 Resilience Long Beach,CA 90806- Admissions:714-710-1961 Admissions:714-388-3894 MH/DD/CD:RTC,PHP Group Home Pacific Place 1241 House:562-981-8400 House:562-981-8500 Adol,Ages 11-17 16 Lic.#198207220 150964 Center for Discovery, 5525 Cavitt Stallman Rd. MH:RTC,PHP State of CA Dept of Resilience Granite Bay,CA 95746- Sacramento Admissions:714-710-1961 Admissions:714-388-3894 Child&Adol,Ages 10- Social Services Lic# Sacramento MH 9492 House:916-761-4776 House:TBD 17 6 1760901672 317006040 150964 State of CA Dept of Center for Discovery, San Diego MH:RTC,PHP 1457705170 Social Services Resilience 2428 Catalina Admissions:714-710-1961 Admissions:714-388-3894 Child&Adol,Ages 10- Group Home Vista Vista,CA 92084-4810 House:760-216-6713 House: 760-216-6724 17 6 Lic.#374603909 150964 State of CA Dept of Center for Discovery, Los Angeles MH/DD/CD:RTC,PHP 1902287048 Social Services Resilience 11911 Washington Blvd. Admissions:714-710-1961 Admissions:714-388-3894 Child,Adol,&Adult, Group Home Whittier I Whittier,CA 90606-2607 House:562-698-8888 House:562-698-8815 jAges 10-19 1 25 1 1 Lic.#197806686 1 150964 &IOP Facilities Facility Address County Phone Fax Current Service(s) Size NPI License JCAHO 8484 Wi s ire B v .,Ste ED MH:PHP IOP Center for Discovery, 510 Los Angeles Admissions:714-710-1961 Admissions:714-388-3894 Child,Adol,&Adult, Business License Beverly Hills Beverly Hills,CA 90211- House:323-951-0050 House:323-951-0055 Ages 10+ 20 1114308590 Lic.#00016916 150964 11455 El Camino Real,Ste ED/Mh:PHP,IOP Center for Discovery, 360 San Diego Admissions:714-710-1961 Admissions:714-388-3894 Child,Adol,&Adults, Business License Del Mar San Diego,CA 92130-3036 House:858-461-4010 House:858-461-0211 Ages 10+ 20 1336508621 Lic.#2016002080 150964 ED/MH:PHP/IOP Center for Discovery, 535 N Brand Blvd Ste 350 Los Angeles Admissions:714-710-1961 Admissions:714-388-3894 Child,Adol,&Adult, Glendale Glendale,CA 91203-3952 House:818-935-5516 House: Ages 10+ 20 1841776226 Business License 150964 4281 Katella Ave.,Ste 131 ED/MH:PHP,IOP Center for Discovery, Los Alamitos,CA 90720- Orange Admissions:714-710-1961 Admissions:714-388-3894 Child,Adol,&Adults, Business License Los Alamitos ED 6507 Office:714-828-1800 Office:714-947-7020 Ages 10+ 20 1164803201 Lic.#01605413 150964 4281 Katella Ave.,Ste 111 MH:PHP/IOP Center for Discovery, Los Alamitos,CA 90720- Orange Admissions:714-710-1961 Admissions:714-388-3894 Child,Adol,&Adult, Business License Los Alamitos MH 3588 Office:714-828-1800 Office:714-828-7020 Ages 10+ 20 1912075698 Lic.#01605413 150964 ED MH: PHP IOP Center for Discovery, 1000 Quail St.,Ste 290 Orange Admissions:714-710-1961 Admissions:714-388-3894 Child,Adol,&Adult, Business License Newport Beach Newport Beach,CA 92660 Office:949-387-0889 Office:949-387-0288 Ages 10+ 20 1871974253 Lic.#BT30046281 150964 5075 Hopyard Rd.,Ste 120 ED/MH:PHP,IOP Center for Discovery, Pleasanton,CA 94588- Alameda Admissions:714-710-1961 Admissions:714-388-3894 Child,Adol,&Adults, Business License Pleasanton 2797 Office:925-202-2175 House:415-985-2175 Ages 10+ 20 1306298278 Lic.#1011037 150964 MH:PHP/IOP Center for Discovery, 5414 Oberlin Dr.,Ste 100 San Diego Admissions:714-710-1961 Admissions:714-388-3894 Child,Adol,&Adults, Business License San Diego San Diego,CA 92121-4744 House:858-412-5613 Office:858-412-4906 Ages 10+ 20 1 1740734268 Lic.#B2016012778 150964 21515 Hawthorne Blvd., ED/MH:PHP/IOP Center For Discovery, Ste 370 Los Angeles Admissions:714-710-1961 Admissions:714-388-3894 Child,Adol,&Adults, Business License South Bay Torrance,CA 90503-6502 Office:424-341-5407 Fax: Ages 10+ 20 1255828000 #BL-LIC-037253 150964 21650 Oxnard St.,Ste 2375 ED/MH:PHP/IOP Business License Center For Discovery, Woodland Hills,CA 91367- Los Angeles Admissions:714-710-1961 Admissions:714-388-3894 Child,Adol,&Adults, Lic.#0002934488- Woodland Hills 14901 1 1 House:818-794-7108 Office: 818-539-7708 Ages 10+ 20 1811432909 0001-3 150964 DISCOVERY Behavioral Health December 16, 2022 Re: Location Change Notification Letter Center for Discovery, Emeryville 2200 Powell St. Ste 100 (ED) and 120 (MH) Emeryville, CA 94608 ED NPI: 1306298278 MH NPI: TBD TIN: 95-4628972 Dear Payer Partner, We truly value our partnership and hope that this letter finds you well. This letter is to inform you that we will be re-locating our Eating Disorder and Mental Health programs at Center for Discovery, Pleasanton from 5075 Hopyard Rd, Ste 120 Pleasanton, CA 94588 to 2200 Powell St. Ste 100 (ED) and 120 (MH) Emeryville, CA 94608. These new locations will open on January 2, 2023. We look forward to serving your members at these new locations,while continuing to provide the best access to quality services possible. Thank you in advance for your time and consideration. Please let us know of any necessary steps we need to take to make this change. If you have any questions,please feel free to reach out to us by email (contracting@discoverybh.com) or phone (714-568-7667). Best Regards, 7� Maggie Gustilo Director of Payer Relations&Strategy Discovery Behavioral Health discoverybehavioralhealth.com 18401 Von Karman Ave.Ste 500 Irvine,CA 92612 DiscoveryBehavioralHealth.coml 714-828-1800 Exhibit B-4 SIERRA 0A $ I $ MEADOWS ASCEND BEHAVIORAL HEALTH BEHAVIORAL HEALTH Programs & Rates Ascend Behavioral Health (children &adolescent mental health) Mental Health Residential (RTC): $1,301.00 per day Partial Hospitalization Program (PHP): $721.00 per day Intensive Outpatient Program (IOP): $443.00 per day Sierra Meadows Behavioral Health (adult mental health) Mental Health Residential (RTC): $1,301.00 per day Partial Hospitalization Program (PHP): $721.00 per day Intensive Outpatient Program (IOP): $443.00 per day Oasis Eating Disorders Recovery(adolescent&adult eating disorders) Partial Hospitalization Program (PHP): $833.00 per day Intensive Outpatient Program (IOP): $521.00 per day May 2023 Exhibit B-7 BHC Alhambra Hospital Contact: Brett Graves, MPH Senior Director, Business Development and Contracts BHC Alhambra Hospital I Reasons Eating Disorder Center 626-286-1191 ext. 292 Brett.graves@uhsinc.com Reasons Inpatient (Adult/Adolescent) $1625.00 Residential (Adult) $1525.00 Partial Hospitalization (PHP) (Adult/Adolescent) $825.00 Intensive Outpatient (IOP) (Adult/Adolescent) $540.00 I. RATES* *All rates other than those listed above must be pre-approved by the County's DBH Director, or designee, prior to placement or initiation of such services. For any rate higher than the listed daily rates, both the rationale and the extra services must be specified and time-limited and approval must be sought using the Special Services Authorization Form or a form agreed upon by County and Contractor. The rates above are only for Reasons Eating Disorder Center, a facility of BHC Alhambra Hospital, Inc. d.b.a. BHC Alhambra Hospital. 626-286-1191 4619 Rosemead Blvd., Rosemead, CA 91770 www.bhcalhambra.com Page 1 of 1 EXHIBIT B-8 CENTRAL STAR BAKERSFIELD YOUTH PSYCHIATRIC HEALTH FACILITY DAILY RATE AND ANCILLARY SERVICES FEE SCHEDULE 2024-2025 1. Contracted Daily Rate Services: Psychiatric Health Facility Service Unit Rate PHF Da $1,435.88 PHF Administrative Day Da $1,435.88 2. Ancillary Services (not covered in Daily Rate): • Medications and other pharmacy services • Mobile Xray • Laboratory tests • Ambulance transportation For clients with Medi-Cal insurance, ancillary services will be directly billed to State Medi-Cal by providers contracted with CONTRACTOR(Central Star). For clients with private insurance, ancillary services may be directly billed to private insurance company by providers contracted with Central Star or will be billed to Central Star. For indigent clients, ancillary services will be billed to Central Star by providers contracted with Central Star. Fees to COUNTY for ancillary services billed to Central Star and not covered by other insurance will include the charges to Central Star plus a four percent (4%) processing fee. Central Star PHF 2024/2025 Rates