Title
Sliding Fee Schedule of Discounts - Riley
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The Department of Health and Human Services has updated the federal poverty guidelines for 2023. Physical Health (FQHC) operations are required to provide services at a discounted rate for those individuals and families who earn annual income greater than 100% and up to and including 200% of the federal poverty guidelines. The Medical, Dental, and Mental Health programs in Physical Health included in the FQHC are required to follow section 330(k)(3)(G) for the Public Health Services Act, 42 USC. A nominal fee/flat rate based on poverty levels for dental, medical, and laboratory services was previously approved by the Governing Council. The federal poverty guidelines have changed, and we are requesting to update our sliding fee scale accordingly as of April 1, 2023.
The Family Planning Program under the Illinois Department of Public Health and Illinois State regulations under the Illinois Family Planning Services Code, 77 Illinois Admin Code 635, region V, requires a schedule of discounts for income to 250% of the federal poverty guidelines with 5-8 breaks, which must be no higher than 25% and proportional. This change in federal poverty guidelines is requested to go into effect on July 1, 2023.
Suggested Motion
To adopt the updated Department of Health and Human Services federal poverty guidelines for the sliding fee scales for Medical, Family Planning, Behavioral Health and Dental services provided in the FQHC - Physical Health as of April 1, 2023, and July 1, 2023, as recommended.