Sliding Fee Scale Discount Program
What is “The Slide”?
Community Health Center of Central Wyoming (CHCCW) is a Federally Qualified Health Centers (FQHC). FQHC’s are required by Health Resources and Services Administration (HRSA) to provide a discount program that adjusts healthcare costs based on a patient's family size and income relative to the Federal Poverty Guidelines (FPG). The slide helps make healthcare affordable for all patients, regardless of income or insurance status.
How does CHCCW structure and calculate “The Slide”?
CHCCW updates its Sliding Fee Discount Program using a structured, data-informed approach to ensure accuracy, fairness, and compliance with federal requirements. This ensures that our program reflects community needs, economic realities, and our mission to provide quality, affordable healthcare for all.
Our most recent update was developed using:
- Federal Poverty Guidelines (FPG)
- Uniform Data System (UDS) data
- Review of other FQHCs in our region
- Patient feedback and surveys
How can you apply for the “The Slide”?
You can apply for the Sliding Fee Scale using the methods below:
Paper Applications: Return the completed form and proof of income via mail, email, fax, or drop-off at any CHCCW clinic.
· Sliding Fee Scale Application
In-person: Call (307) 233-6000 (option 3) to schedule an in-person appointment. We will ask you questions regarding your household and financial situation and inform you of what documentation you will need to provide to complete your application.
Apply Online: Submit your application digitally here: CHCCW SLIDING FEE DISCOUNT PROGRAM A CHCCW representative will contact you via email.
If you do not have any documented income, you can use the “self-attestation” form attached to the application and/or contact us for guidance.
Paying with The Slide: What to Expect
Once qualified for “The Slide”, what will you pay at time of service?
Note: Pharmacy discounts apply only to prescriptions written by CHCCW providers.
Sliding Fee Scale FAQs
What documents do I need?
Most applicants will need their most recent 30 days worth of pay stubs, unemployment statements, Social Security statements, or most recent tax return.
How long does it take to process?
Online applications: 7–10 business days
In-person appointments: often quicker, depending on documentation
How long will my slide be valid?
This depends on the financial and household situation, but typically one year. When the application is processed, we will send communication informing you of the status, including which slide you have qualified for and your expiration date. We also ask that you reapply 30 days before expiration to avoid lapses.
What does CHCCW consider household size and what income is included?
Household Size: All individuals who can be claimed on the guarantor’s tax return or those who share gross income, regardless of residence.
Income: Total gross earnings received by household individuals aged 18 or older, including wages, benefits, and other sources.
What are Federal Poverty Guidelines (FPG)?
Federal Poverty Guidelines are income thresholds set annually by the U.S. Department of Health and Human Services (HHS) to determine financial eligibility for various federal programs, like Medicaid or LIHEAP, varying by family size and location (with higher levels for Alaska and Hawaii). They're a simplified version of the Census Bureau's poverty thresholds, updated for inflation, helping agencies identify who qualifies for assistance based on their income relative to these set dollar amounts.
Who is available for the Sliding Fee Scale?
The SFSD program is non-discriminatory and every patient is eligible to apply. If you fall within the household and income requirements, you will automatically be placed on the appropriate slide.
Why do we have a Sliding Fee Scale?
Community Health Center use a Sliding Fee Scale to reduce financial barriers related to medical, behavioral, pharmacy, and dental costs. Patients are expected to carry some portion of the cost or nominal fee. Bring your co-pay and make payments on your bill to help CHCCW keep our doors open to all members of the community.
What documents do I need?
Most applicants will need their most recent 30 days worth of pay stubs, unemployment statements, Social Security statements, or most recent tax return.
