Sliding Fee Scale Information

Community Clinical Services is a Community Health Center providing care to all patients who seek our services regardless of insurance or financial status. No patient is ever denied care due to an inability to pay. We offer a Sliding Fee Discount to patients with income at or below 200% Federal Poverty Levels, set forth by the most recent published HHS Federal Poverty Guidelines. Link to the guidelines: https://aspe.hhs.gov/topics/poverty-economic-mobility/poverty-guidelines

To qualify, please ask for an application at your next visit, or call any of our practices and we can assist you with the application. Once completed, your application and proof of income will be reviewed by one of our financial counselors to determine eligibility. Once approved, your sliding fee will be in effect for a period of 6 months. After 6 months, you will be reminded to complete another application to re-assess eligibility.

QUESTIONS about the Sliding Fee Discount Application?

Please call Llayna Charest, Administrative Support Supervisor @ 207-440-5918.

If no answer, please leave a message with your name and call back number only.

INSURANCES ACCEPTED: All including Medicaid, Medicare, Tricare, and commercial insurances.

Annual FQHC Demographic & Income Verification Form Information:

We ask all of our patients to complete (and update annually) a quick, one page form that asks information about demographics such as your housing status, transportation needs, gender identity and sexual orientation as well as income information. All Federally Qualified Health Centers collect this information that is utilized to inform our programming to best meet the needs of the patients we serve. The income questions are asked so that we can determine if you may be eligible for our Sliding Fee Scale Discount.

Click Here to view and download a copy: 2024 Annual FQHC Form