The following are approved ways to verify your household income:
*Any other income not included in this list.
Proof of income is required to qualify for the sliding fee program and may include the following:
Refer to Sliding Fee Program Brochure below.
Missouri Ozarks Community Health’s sliding fee discount schedule is based on the federal poverty guidelines updated annually in the Federal Register by the U.S. Department of Health and Human Services under the authority of 42 U.S.C. 9902(2). The sliding fee discount schedule is updated annually based on changes to the federal poverty guidelines by the CFO and CEO with approval from the Missouri Ozarks Community Health Board of Directors.
In order to qualify for the sliding fee program, patients must complete the sliding fee program application paperwork and provide the appropriate proof of income. Patients cannot be seen on the sliding fee program until they have completed their sliding fee paperwork and have provided proof of income. Enrollments in the sliding fee program will be renewed annually.
* Revised sliding fee program effective 03/01/2020
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