Health Centers are allowed to have multiple sliding fee scales, however, the scales can only be based on service type. Separate scales for medical, dental and behavioral health are acceptable. It is also permissible to have multiple scales for distinct subcategories of services. Examples of subcategories could include basic dental, preventive dental, and major dental. It is important to remember that each scale must incorporate the most recent FPG, be applied uniformly to patients, grant a full discount for individuals and families under 100% FPG, have graduated discounts for patients who fall between 101-200% FTGm, and no patient over 200% FPG qualifies for the discounts.
Regulators are no longer satisfied with documentation alone; they want evidence that your compliance program actively prevents, detects, and corrects risk. Investigators expect to see how issues are identified early, investigated thoroughly, corrected effectively, and monitored over time. Boards demand measurable insight, and leadership needs confidence that exposure is managed before it becomes a liability. The standard has shifted from activity to impact.