Sliding Fee Scale Billing — FQHC + CMHC 2026
Federally Qualified Health Centers (FQHCs) and Community Mental Health Centers (CMHCs) must maintain sliding fee scale (SFS) documentation. Missing SFS documentation risks HRSA compliance and 340B eligibility.
SFS 2026 Compliance Requirements
- Annual sliding scale review + patient re-attestation
- Federal Poverty Level (FPL) tier documentation
- Nominal fee documentation at ≤100% FPL
- Discount code + G-modifier application
- UDS (Uniform Data System) reporting alignment
Common Denials + Compliance Gaps
- Missing FPL attestation in chart
- Nominal fee inconsistent with sliding scale schedule
- 340B billing without SFS discount
- Encounter code + G-modifier mismatch
Recovery Framework
SFS documentation audit → chart re-attestation loop → UDS reconciliation → 340B compliance verification.
– KD, Revenant Care