Medicare Benefit Policy Manual (Pub. 100-02), Ch. 13 § 90.2
Sliding Fee Scale
90.2 - Sliding Fee Scale
(Rev. 239, Issued: 01-09-18, Effective: 1-22-18, Implementation: 1-22-18)
RHCs may establish a sliding fee scale if it is uniformly applied to all patients. An RHC
that chooses to offer a sliding fee scale must post the policy so that all patients are aware
of the policy. If the payment policy is based on an individual’s income, the RHC must
document that income information from the patient was obtained in order to determine
that the patient qualified. Copies of their wage statement or income tax return are not
required, and self-attestations are acceptable.
FQHCs that are approved by HRSA are required to establish a sliding fee scale in
accordance with statutory and HRSA requirements.