{"hospital":{"ccn":"050748","name":"KAISER FOUNDATION HOSPITAL MANTECA","city":"MANTECA","state":"CA","zip":"95337","phone":"209-825-3700","ownership":"Voluntary non-profit - Private","website_domain":"kaiserpermanente.org","system":null},"version":1,"status":"published","eligibility":{"free_care_max_fpl":{"value":"200","layer":"documented","quote":"Federal Poverty Level Guidelines Financial Assistance Discount From To 0% - 200% 100% Discount (Full)","source_id":"fap-383c90d10feb741b","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"discount_tiers":null,"asset_test":{"value":false,"layer":"documented","quote":"Assets are not considered income.","source_id":"fap-383c90d10feb741b","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"residency":null,"insured_patients_covered":null,"min_balance":null,"services_excluded":null},"programs":{"presumptive":null,"state_programs":null},"apply":{"form_url":null,"form_version":null,"documents_required":{"value":["tax_return","pay_stubs"],"layer":"documented","quote":"Information submitted by patients for MFA eligibility determinations (e.g., recent paystubs or tax returns) will not be used for collection activities.","source_id":"fap-383c90d10feb741b","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"documents_reported":null,"submit_methods":null,"window_days_from_first_bill":{"value":240,"layer":"documented","quote":"The patient has been provided at least 240 days from the first billing statement to apply for MFA.","source_id":"fap-383c90d10feb741b","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"decision_days":{"value":30,"layer":"documented","quote":"A patient is notified in person, by mail, or by telephone if required information received is incomplete. The patient may submit the missing information within 30 days from either: the date the notice was mailed, the in-person conversation took place, or the telephone conversation occurred.","source_id":"fap-383c90d10feb741b","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"decision_days_reported":null},"collections":{"eca_wait_days":null,"collection_agencies":null},"contacts":{"phone":{"value":"1-800-390-3507","layer":"documented","quote":"Counselors can be reached at: Telephone: 1-800-390-3507","source_id":"fap-383c90d10feb741b","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"hours":null,"languages":null},"coverage":{"facilities":{"value":["KFH Manteca"],"layer":"documented","quote":"Kaiser Foundation Hospitals in Northern California include: KFH Antioch KFH Fremont KFH Fresno KFH San Leandro KFH Manteca KFH Modesto KFH Oakland KFH Richmond KFH Roseville KFH Redwood City KFH Sacramento KFH Santa Clara KFH San Francisco KFH San Jose KFH San Rafael KFH Santa Rosa KFH South Sacramento KFH South San Francisco KFH Vacaville KFH Vallejo KFH Walnut Creek","source_id":"fap-383c90d10feb741b","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"provider_list_url":null},"sources":[{"id":"fap-383c90d10feb741b","kind":"hospital_web","url":"https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/mfa/northern-california/english-ncal/mfa-policy-and-addendum-ncal-english-ada.pdf","title":"POLICY TITLE Medical Financial Assistance","fetched_on":"2026-10-13","sha256":"383c90d10feb741baa3098b55717404ed2c8186c5c401c8186ff9f99352e3d4b","effective_date":null},{"id":"fap-cda9c9386f118b6a","kind":"hospital_web","url":"https://healthy.kaiserpermanente.org/help-paying-your-bill/medical-financial-assistance","title":"Medical Financial Assistance | Kaiser Permanente","fetched_on":"2026-10-13","sha256":"cda9c9386f118b6a64d0667340944774375793945c8ce07974614849714f1157","effective_date":null}],"accuracy":null}