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Price Transparency

As of January 1, 2019, the Center for Medicare and Medicaid Services (CMS) requires all hospitals to publish their standard charges and shoppable services online.

Motion Picture and Television Fund (MPTF) Samuel Goldwyn, Jr. Center for Behavioral Health (CBH) provides inpatient psychiatric care based on a per diem facility rate -a fixed daily amount an insurance payer agrees to pay a hospital for each day of inpatient care. It does not provide emergency room services, outpatient services or other acute medical care.

Because charges at inpatient psychiatric facilities are bundled (grouped together) and not scheduled individually, our shoppable services are limited to our facility’s standard room and board rate.

To download our Standard Charges and Shoppable Services by using the links below:
🔗 Behavioral Health

🔗 Skilled Nursing

🔗 Memory Care

Or call Patient Business Services at (818) 876-1076 for assistance with good faith estimates.

 Help Paying Your Bill

Financial Assistance Program for Hospital Patients

Motion Picture and Television Fund (MPTF) Samuel Goldwyn, Jr. Center for Behavioral Health (CBH) is a charitable, nonprofit psychiatric hospital dedicated to providing inpatient mental health care to older adults in the entertainment industry and the broader community. As part of our charitable mission, we offer financial assistance to qualifying patients.

Who This Policy Applies To

This policy applies only to the Motion Picture and Television Fund (MPTF) Samuel Goldwyn, Jr. Center for Behavioral Health (CBH), a 12-bed psychiatric inpatient hospital for adults aged 55 and older.

  • MPTF CBH does not offer emergency room care, outpatient care, or other acute medical services.
  • This policy does not cover physician services or providers who bill separately from the hospital.

Who May Qualify for Help

You may qualify for financial assistance if:

  • You received medically necessary inpatient psychiatric care at MPTF CBH, and
  • Your family income is at or below 400% of the Federal Poverty Guidelines (FPG), and
  • You meet one of the following:
  1. Uninsured Patients

No health coverage, and income is at or below 400% FPG.

  1. Underinsured Patients

Some coverage, but it doesn’t cover your full hospital bill, and income is at or below 400% FPG.

  1. High Out-of-Pocket Medical Costs

If your out-of-pocket costs for hospital or other medical services:

  • Exceed 10% of your family income, and
  • You provide proof of those expenses, and
  • Your income is at or below 400% FPG

How to Apply

You can apply any time before, during, or after you receive a bill.
To download our Financial Assistance Policy (FAP) and Application, use the links below:

🔗 Financial Assistance Policy, #106 >
🔗 Financial Assistance Policy Plain Language Summary >
🔗 Application for Hospital Charity/Financial Assistance >

Free copies of the policy and application are also available:

  • At the Admitting Office or Patient Business Services (PBS)
  • By mail, upon request

For help applying, contact:
Patient Business Services at (818) 876-1076

Mail or drop off your completed application with documents to:
MPTF – Attn: PBS Manager (Mailstop 70)
23388 Mulholland Drive
Woodland Hills, CA 91364

Documents You May Need to Provide

  • Recent federal tax return or pay stubs
  • Documentation of other income sources
  • Proof of medical expenses for the last 12 months
  • A written explanation of your current financial situation
  • A death certificate (if applying on behalf of a deceased patient)

Application Review

The PBS Manager will review your application and may approve financial assistance if you meet the guidelines. You will receive a written letter with the outcome.

More Help

  • Language help is free, 24 hours, 7 days a week (except holidays) call (818) 876-1888 or visit our hospital Admitting Office.
  • Help with understanding your bill is available for free from consumer advocacy organizations. You may call the Health Consumer Alliance (HCA):
    at (888) 804-3536 or visit healthconsumer.org

Hospital Bill Complaint Program

The Hospital Bill Complaint Program is a state program, which reviews hospital decisions about whether you qualify for help paying your hospital bill.

If you believe you were unfairly denied financial assistance, you can file a complaint with the California Hospital Bill Complaint Program:
🔗 HospitalBillComplaintProgram.hcai.ca.gov 

Debt Collections

At Motion Picture and Television Fund, we are committed to providing transparent, compassionate, and compliant practices in accordance with federal and state laws.

To download our Self-Pay Billing and Debit Collection policy, use the link below:

🔗 SP Billing Collections Policy 107