Sliding fee scale daily visit amounts are based on your ability to pay as established by the chart below. Annual income limits in the chart are based on 2025 Federal Poverty Level (FPL) guidelines and are updated annually. Your sliding fee scale daily visit amount is determined at least annually, or whenever your financial situation changes. No person will be denied service based on their lack or ability to pay.

Definition of Income:

Examples of Income include earnings, unemployment compensation, worker' compensation, Social Security, Supplemental Security Income, public assistance, Veteran's payments, survivor benefits, pension, retirement income, interest, dividends, rents, royalties, income from estates, trusts, educational assistance, alimony, child support, assistance from outside the household, and other miscellaneous sources. Income does NOT include capital gains or losses, noncash benefits (I.e. food stamps, housing subsidies), and tax credits.

Proof of Income:

Proof of income is required in order to determine your sliding fee scale daily visit amount. A copy of your federal tax return, W-2, three most recent paystubs or unemployment benefit letter may be used. If you do not have these documents, you may sign the Income Self-Attestation Form.

If your income is over the federal poverty guidelines. The billing specialist will determine payment amount based on the information provided.