Sliding Fee Discount Scale
A discount schedule based on family income and size, required of HRSA-funded health centers for patients at or below 200% of FPL.
1 min read · Last reviewed May 23, 2026
At a glance
- Category
- Compliance Program
- Primary sources
- 1
- Workspace handoff
- templates →
Where this comes up
Compliance committees and practice managers operate at this level — written policy, workforce training, sanction policy, monitoring and auditing cadence, response and corrective action. The seven elements of an effective compliance program (OIG) are the scaffolding; this term lives somewhere on that scaffold.
Full definition
What it is in practice
HRSA Sliding Fee requires SFD policies for FQHCs and other HRSA-funded providers. Discounts are tiered with full discount at 100% FPL.
How it shows up in your practice
Apply the SFD consistently across qualifying patients. Document the income verification process for compliance and UDS reporting.
Sources
- HRSA — 340Bhttps://www.hrsa.gov/opa
Pull SFD template from the Templates engine
Open templates →Related terms
- TelehealthFQHC (Federally Qualified Health Center)A community-based safety-net provider that meets requirements at section 1861(aa) of the Social Security Act and receives prospective payment from Medicare and enhanced reimbursement from Medicaid.
- Compliance ProgramCharity Care PolicyWritten policy describing how a hospital or health system provides free or discounted care to patients meeting financial eligibility criteria; required for 501(c)(3) nonprofit hospitals under IRC 501(r).
- EnrollmentUDS ReportingThe Uniform Data System annual report required of HRSA-funded health centers.
D3rx is a healthcare-billing and compliance research aid maintained by D3rx Inc. Articles are drafted by an LLM (Anthropic Claude) against primary HHS, OCR, CMS, eCFR, NIST, and state-regulator publications, and reviewed for restraint and source fidelity by the D3rx team.
Reviewer status: a named credentialed reviewer (CHC, CHPC, or healthcare attorney) is being engaged. Until that engagement is finalized, this page does not claim credentialed review.
Related across the archive
- GlossaryFQHC (Federally Qualified Health Center)A community-based safety-net provider that meets requirements at section 1861(aa) of the Social Security Act and receives prospective payment from Medicare and enhanced reimbursement from Medicaid.
- GlossaryCharity Care PolicyWritten policy describing how a hospital or health system provides free or discounted care to patients meeting financial eligibility criteria; required for 501(c)(3) nonprofit hospitals under IRC 501(r).
- GlossaryUDS ReportingThe Uniform Data System annual report required of HRSA-funded health centers.
- Glossary340B Drug PricingHRSA-administered drug-discount program that lets eligible safety-net providers buy outpatient drugs at reduced prices.
- BillingWhat to Do When a Payer Says You're UnderbillingGot a letter saying you're underbilling? Here's what it actually means, whether you should worry, and what action to take.
- ComplianceAmbulatory Surgery Center Compliance: CMS + State + Infection Control42 CFR Part 416 Conditions for Coverage, CMS State Operations Manual Appendix L, the ASC Infection Control Surveyor Worksheet, and where state ASC licensure tightens the standard.
- ComplianceAnnual HIPAA Training Curriculum (What to Cover + How to Document)A 2026 annual HIPAA training curriculum for small healthcare practices — eight required modules under 45 CFR 164.530(b) and 45 CFR 164.308(a)(5), with documentation templates.
- ComplianceAnti-Kickback Statute: What Medical Practices Actually Need to Know (42 USC § 1320a-7b(b))The federal Anti-Kickback Statute is intent-based, criminal-grade, and the most common fraud-and-abuse theory in OIG enforcement. Here is what AKS actually prohibits, how the safe harbors function, and where practices get caught.
This glossary entry is a research aid for billing and compliance staff. It does not provide legal, medical, or financial advice and does not replace counsel. References cited link to primary sources at HHS, OCR, CMS, eCFR, NIST, and the relevant payer or industry body.