Sliding Scale

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The Sliding Scale Fee Discount Program was created to ensure that comprehensive mental health services are available and accessible to uninsured and underinsured patients by providing an affordable fee structure by federal regulations.

Any individual may apply for the Sliding Scale Fee Discount; however, eligibility is based on the household's annual income and family size. Only individuals living in homes below the Federal Poverty Level may qualify for a Sliding Scale Fee discount. 

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The Sliding Scale Fee Discount is available to individuals and families who are uninsured or under-insured.

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All processes will be completed during the pre-admission process. Steps and methods of completing necessary paperwork will be discussed with the patient.

Individuals interested in applying for the discount must provide evidence of their financial status. Applicants have 2 weeks to provide information on income status. After that time, the application is considered denied. A new application may be resubmitted once the income verification materials are provided. 

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Income status can be verified by 2 of the following forms of written verification of household income and size:

• Paycheck stub (most recent)
• W-2 form
• Last Income Tax Return
• Written statement from employer
• Unemployment check stub
• Social security check stub

In some cases, an individual is unable to provide proof of income. The Self-Declaration of Income must be completed as an alternative. For information on the Self-Declaration form, please select this button