Florida Regulations 64F-16.006: Sliding Fee Scale
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(1) Persons with net family incomes between 101 and 200 percent of the Health and Human Services Poverty Guidelines for the 48 Contiguous States and the District of Columbia (Poverty Guidelines), as published in the January 18, 2018 rendition of the Federal Register, incorporated by reference and available at https://www.flrules.org/Gateway/reference.asp?No=Ref-09394 or https://aspe.hhs.gov/poverty-guidelines, shall be charged a fee on a sliding scale based on the following increments. For family planning services only, persons with incomes between 101 percent and 250 percent of poverty shall be charged on a sliding fee scale as described in Fl. Admin. Code R. 64F-16.006(3)(h), below:
(a) Persons with incomes at or below 100 percent of the poverty guidelines shall pay no fee.
(b) Persons with incomes at 101 to 119 percent of the poverty guidelines shall pay 17 percent of the full fee.
(c) Persons with incomes at 120 to 139 percent of the poverty guidelines shall pay 33 percent of the full fee.
(d) Persons with incomes at 140 to 159 percent of the poverty guidelines shall pay 50 percent of the full fee.
(e) Persons with incomes at 160 to 179 percent of the poverty guidelines shall pay 67 percent of the full fee.
(f) Persons with incomes at 180 to 199 percent of the poverty guidelines shall pay 83 percent of the full fee.
(g) Persons with incomes at or above 200 percent of the poverty guidelines shall pay the full fee.
(2) Laboratory, pharmacy, and radiology charges may be added separately to the clinic visit charge, but must be charged on the sliding fee scale.
(3) This sliding fee scale applies to recipients of integrated family health and communicable disease control services, with the following exceptions:
(a) Participants in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) shall not be charged any fee for WIC certification or WIC benefits.
(b) There shall not be any fee charged for childhood immunizations required for admittance to or attendance in school as specified in Florida Statutes § 232.032
(c) There shall not be any fee charged for a Medicaid reimbursable service to any CHD client/patient who is eligible for and enrolled in the Medicaid program.
(d) Clients served by CHDs and their subcontractors shall not be denied services for tuberculosis, sexually transmitted disease, or HIV/AIDS communicable disease control because of failure or inability to pay a prescribed fee, regardless of their income.
(e) Clients interviewed, examined, or tested at CHD initiative because they are a contact to a case of a communicable disease or because they are a member of a group at risk that is being investigated by the CHD may not be charged a fee for the interview, examination, or testing; these clients may be charged on a sliding fee scale for any treatment indicated, but they cannot be denied services based on inability to pay.
(f) Clients served by CHDs and their subcontractors shall not be denied family planning services for failure or inability to pay a prescribed fee, regardless of their income; however all family planning methods, shall be limited depending on the availability of funds.
(g) Clients shall not be denied pregnancy testing for failure or inability to pay a fee.
(h) For family planning services only, persons with net family incomes between 101 percent and 250 percent of the poverty guidelines shall be charged a fee on a sliding scale based on the following increments:
1. Persons with incomes at or below 100 percent of the poverty guidelines shall pay no fee.
2. Persons with incomes at 101 to 129 percent of the poverty guidelines shall pay 17 percent of the full fee.
3. Persons with incomes at 130 to 159 percent of the poverty guidelines shall pay 33 percent of the full fee.
4. Persons with incomes at 160 to 189 percent of the poverty guidelines shall pay 50 percent of the full fee.
5. Persons with incomes at 190 to 219 percent of the poverty guidelines shall pay 67 percent of the full fee.
6. Persons with incomes at 220 to 250 percent of the poverty guidelines shall pay 83 percent of the full fee.
7. Persons with incomes at or above 251 percent of the poverty guidelines shall pay the full fee.
(4) Persons with net family incomes above 200 percent of the poverty guidelines shall be charged the full fee promulgated by the department or the relevant board of county commissioners, with the exception of those groups listed in paragraphs (3)(a) through (h), above.
Rulemaking Authority Florida Statutes § 154.011(5). Law Implemented Florida Statutes § 154.011. History-New 10-14-93, Amended 8-2-94, 4-29-96, Formerly 10D-121.007, Amended 6-24-02, 6-17-03, 6-30-10, 1-2-17, 5-21-18.
(b) Persons with incomes at 101 to 119 percent of the poverty guidelines shall pay 17 percent of the full fee.
(c) Persons with incomes at 120 to 139 percent of the poverty guidelines shall pay 33 percent of the full fee.
(d) Persons with incomes at 140 to 159 percent of the poverty guidelines shall pay 50 percent of the full fee.
(e) Persons with incomes at 160 to 179 percent of the poverty guidelines shall pay 67 percent of the full fee.
(f) Persons with incomes at 180 to 199 percent of the poverty guidelines shall pay 83 percent of the full fee.
(g) Persons with incomes at or above 200 percent of the poverty guidelines shall pay the full fee.
(2) Laboratory, pharmacy, and radiology charges may be added separately to the clinic visit charge, but must be charged on the sliding fee scale.
(3) This sliding fee scale applies to recipients of integrated family health and communicable disease control services, with the following exceptions:
(a) Participants in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) shall not be charged any fee for WIC certification or WIC benefits.
(b) There shall not be any fee charged for childhood immunizations required for admittance to or attendance in school as specified in Florida Statutes § 232.032
(c) There shall not be any fee charged for a Medicaid reimbursable service to any CHD client/patient who is eligible for and enrolled in the Medicaid program.
(d) Clients served by CHDs and their subcontractors shall not be denied services for tuberculosis, sexually transmitted disease, or HIV/AIDS communicable disease control because of failure or inability to pay a prescribed fee, regardless of their income.
(e) Clients interviewed, examined, or tested at CHD initiative because they are a contact to a case of a communicable disease or because they are a member of a group at risk that is being investigated by the CHD may not be charged a fee for the interview, examination, or testing; these clients may be charged on a sliding fee scale for any treatment indicated, but they cannot be denied services based on inability to pay.
(f) Clients served by CHDs and their subcontractors shall not be denied family planning services for failure or inability to pay a prescribed fee, regardless of their income; however all family planning methods, shall be limited depending on the availability of funds.
(g) Clients shall not be denied pregnancy testing for failure or inability to pay a fee.
(h) For family planning services only, persons with net family incomes between 101 percent and 250 percent of the poverty guidelines shall be charged a fee on a sliding scale based on the following increments:
1. Persons with incomes at or below 100 percent of the poverty guidelines shall pay no fee.
2. Persons with incomes at 101 to 129 percent of the poverty guidelines shall pay 17 percent of the full fee.
3. Persons with incomes at 130 to 159 percent of the poverty guidelines shall pay 33 percent of the full fee.
4. Persons with incomes at 160 to 189 percent of the poverty guidelines shall pay 50 percent of the full fee.
5. Persons with incomes at 190 to 219 percent of the poverty guidelines shall pay 67 percent of the full fee.
6. Persons with incomes at 220 to 250 percent of the poverty guidelines shall pay 83 percent of the full fee.
7. Persons with incomes at or above 251 percent of the poverty guidelines shall pay the full fee.
(4) Persons with net family incomes above 200 percent of the poverty guidelines shall be charged the full fee promulgated by the department or the relevant board of county commissioners, with the exception of those groups listed in paragraphs (3)(a) through (h), above.
Rulemaking Authority Florida Statutes § 154.011(5). Law Implemented Florida Statutes § 154.011. History-New 10-14-93, Amended 8-2-94, 4-29-96, Formerly 10D-121.007, Amended 6-24-02, 6-17-03, 6-30-10, 1-2-17, 5-21-18.