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
Flex Program Fundamentals: An Introduction to the Medicare Rural Hospital Flexibility Program is designed to be used by both new and current Flex Program staff: as an orientation manual and as a guide to helpful resources.
These resources provide information about how to submit Medicare Beneficiary Quality Improvement Project (MBQIP) data and how to interpret data reports in order to inform quality improvement efforts.
The guide for state Flex Programs contains relevant and practical recommendations and tools to strengthen staff engagement and retention through the Staff Sustainability Cycle described within, which consists of recruiting, onboarding, learning and development, strengthening workforce engagement and retention, and succession planning.
Use this series of leadership tools to enable rural health care leadership teams to examine and clarify roles for achieving performance excellence during the transition to value-based health care. They are geared specifically toward administrative teams, board members and physician leaders.