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Wiki Cash Pay Rates

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kstine713

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Location
Walhalla, SC
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Hello,

We offer Behavioral Health Services, but are a cash pay only practice. We are not credentialed with any payers, and do not file to insurance. Since all patients pay for services up front, are we able to offer a different cash pay price to different patient populations? For example, our Medicaid patients tend to struggle to afford the fees we have set. Is it okay to have a "sliding scale," and offer a discounted price to different patients? What issues could we run into?

Thank you!
Kaytie
 
1
You can have a sliding scale, but you have to base it on each person's financial need, not a particular subset of patients. You can take the federal poverty level (available on a google search), and do a percentage schedule, such as, if your household income is at the poverty level, then you pay 30% of the regular fee. If you're at 110% of poverty level, you pay 40% of the regular fee - whatever your practice thinks is reasonable and workable.

Here is one example that someone has worked out:

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