Sliding Fee Scale Discount Guide for CAHs and RHCs

Updated April 2022, this guide provides critical access hospital (CAH) and rural health clinic (RHC) executive and management teams with concepts and guidance in developing a Sliding Fee Scale Discount Program. It also assists in gaining an understanding of how sliding fee scale discount programs relate to Internal Revenue Code Section 501(r) compliance and participation in the National Health Service Corps (NHSC). In addition, content includes information about:

  • Reasons to implement a sliding fee scale discount program
  • Setting policies
  • Creating a sliding fee scale discount structure
  • Using a sliding fee scale discount in your organization
  • An example of a sliding fee schedule

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