TRICARE Authorized Residential Treatment Centers Reimbursement Rates
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1 TRICARE Authorized Residential Treatment Centers Reimbursement Rates The rates in this file are used for the payment of claims for services rendered on or after October 1 of the designated year. The rate is adjusted by the lesser of the Medicare update factor, as noted in the TRM, Chapter 7, Section 1, or the cap amount. This listing is for RTC per diem rates only. It does not reflect a facility's current status as a TRICARE authorized RTC. Information regarding a facility's current status as an authorized provider can be obtained from the appropriate contractor. FY 2014 FY 2015 FY 2016 RTC CAP State Alaska Facility DeBarr Residential Treatment Center dba Frontline Hospital, LLC City/State Anchorage, AK EIN FY 2014 FY 2015 FY 2016 Arizona Oasis Behavioral Health Southwest Children's Health Services dba Parc Place Chandler, AZ $453 $467 $479 Arkansas BHC Pinnacle Pointe Hospital Habilitation Center Inc. dba Millcreek of Arkansas Little Rock, AR Fordyce, AR $838 $863 $546 $884 $560 California Discovery Practice Management Inc., dba Center for Discovery Lakewood Discovery Practice Management Inc., dba Center for Discovery Whittier Lakewood, CA Whittier, CA $812
2 Colorado Cedar Springs Behavioral Health Systems Inc., dba PSI Cedar Springs Hospital, Inc. Colorado Springs, CO Florida LaAmistad Behavioral Health Services Maitland, FL Palm Shores Behavioral Health Center dba Manatee Palms Youth Service / Premier Bradenton, FL Behavioral Solutions of Florida, Inc. The National Deaf Academy, LLC Mt. Dora, FL University Behavioral LLC dba University Behavioral Center Orlando, FL $800 $751 $720 $824 $773 $741 $844 $792 $759 Georgia Coastal Harbor Treatment Center / UHS of Savannah, LLC Savannah, GA The Devereux Foundation dba Devereaux GA Treatment Network Kennesaw, GA Ramsey Youth Services of Georgia Inc. dba Macon Behavioral Health System Macon, GA UHS of Laurel Heights, LP / Laurel Heights Hospital Atlanta, GA Youth Villages, Inc. Douglasville, GA $466 $549 $804 $480 $565 $828 $492 $512 $579 $848 Hawaii Kahi Mohala Behavioral Health / Sutter Health Pacific Ewa Beach, HI Queen's Medical Center/Family Treatment Center/The Queen's Healthcare System Honolulu, HI $814 $838 $859 Idaho Eastern Idaho Regional Medical Center Behavioral Health Center Idaho Falls, ID $383 $395 $405 Illinois Timberline Knolls/TK Behavioral LLC Lemont, IL Indiana Michiana Behavioral Health Center / HHC Indiana, Inc. Plymouth, IN $476 $490 $502
3 Midwest Center for Youth and Families / South Shore Academy Valle Vista Hospital LLC / Valle Vista Health System Valparaiso, IN Greenwood, IN $601 $504 $619 $519 $634 $532 Kansas KVC Hospitals, Inc./Prarie Ridge Psychiatric Hospital Kansas City, KS $505 $520 $533 Kentucky Spring Meadows Center dba Spring Meadows Mount Washington, K $606 Ten Broeck Hospital Dupont / TBD Acquisition LLC Ten Broeck Hospital Louisville / KMI Acquisition LLC United Healthcare of Hardin, Inc. dba Lincoln Trail Behavioral Health System Louisville, KY Louisville, KY Radcliff, KY $713 $758 $637 $734 $780 $656 $752 $799 $672 Maryland Adventist Healthcare Inc dba Adventist Behavioral Health Rockville, MD $438 $451 $462 Mississippi Millcreek of Pontotoc Psychiatric RTC Pontotoc, MS $415 $428 $439 Missouri Crittendon Children's Center Heartland Behavioral Health Services, Inc / Great Plains Hospital Inc. Lakeland Regional Hospital/Lakeland Hospital Acquisition Corporation Kansas City, MO Nevada, MO Springfield, MO $363 $444 $455 $374 $457 $469 $383 $468 $481 Montana Acadia Montana Shodair Children's Hospital/Montana Children's Home & Hospital Butte, MT Helena, MT $569 $485 $586 $601 $512 Nevada Willow Springs Center / Willow Springs LLC Reno, NV
4 New Mexico BHC Lovelace Sandia Health System/BHC Mesilla Valley Hospital LLC Youth and Family Centered Services of New Mexico, Inc/dba Desert Hills Las Cruses, NM Albuquerque, NM $356 $777 $367 $800 $376 $820 North Carolina Brynn Marr Hospital SBH Wilmington LLC / dba Strategic Behavioral Center Wilmington SBH Raleigh, LLC / dba Strategic Behavioral Center Raleigh Jacksonville, NC Leland, NC Garner, NC $517 $560 $532 $577 $545 $591 $583 Ohio Belmont Pines Hospital Youngstown, OH $445 $458 $469 Pennsylvania KidsPeace National Centers Orefield, PA $591 $609 $624 South Carolina ABS LINCS SC, Inc./dba Palmetto Pines Behavioral Health Summerville, SC $668 $688 $705 Palmetto Lowcountry Behavioral Health Charleston, SC $484 New Hope Carolinas Rock Hill, SC $444 $457 $468 Three Rivers Residential Treatment Midlands Campus West Columbia, SC $808 $832 $852 Springbrook Behavioral Health System Travelers Rest, SC $520 $536 $549 Tennessee Compass Intervention Center/Keystone Memphis, LLC Village Behavioral Health dba The Village Memphis, TN Louisville, TN $502 $421 $517 $434 $530 $445 Texas Cedar Crest Hospital and RTC/HMTH Cedar Crest, LLC Belton, TX $775 $798 $818 Laurel Ridge Treatment Center/Texas Laurel Ridge Hospital San Antonio, TX Meridell Achievement Center Liberty Hill, TX $704 $725 $743
5 San Marcos Treatment Center/Texas San Marcos Treatment, LP San Marcos, TX $791 $814 $834 Utah UHS of Provo Canyon, Inc/Provo Canyon School Provo, UT $515 $528 UHS of Provo Canyon, Inc/Provo Canyon School Orem, UT $515 UHS of Timpanogos/Center of Change Orem, UT $627 $646 $662 Virginia Cumberland Hospital for Children and Adolescents/dba Cumberland Hospital Hallmark Youthcare Richmond Harbor Point Behavioral Health Center The James Barry Robinson Institute/dba The Barry Robinson Center Newport News Behavioral Health Center North Spring Behavioral Healthcare The Pines Residential Treatment Center Kempsville New Kent, VA Richmond, VA Portsmouth, VA Norfolk, VA Newport News, VA Leesburg, VA Norfolk, VA $827 $838 $704 $815 $496 $531 $704 $851 $863 $725 $839 $511 $547 $725 $872 $743 $860 $524 $561 $743 Poplar Springs West/HHC Poplar Springs, Inc. Petersburg, VA $812 $836 $857 Riverside Behavioral Health Center Hampton, VA $551 $567 $581 Washington Tamarack Center Spokane, WA $700 $721 $739
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