The National Association of Community Health Centers (NACHC), a HRSA-funded national training and technical assistance partner (NTTAP), shares this publication, Guidance: Sliding Coinsurance for CMS/Medicare Care Management Services, to assist health centers with managing the relationship between CMS/Medicare care management services and sliding fee policies. While health centers are required to enforce Medicare coinsurance for CMS/Medicare care management services, the coinsurance may be “slid” in accordance with the health center’s sliding fee discount program (SFDP) policy. Federal anti-kickback statutes and beneficiary inducement prohibitions include exceptions allowing health centers to discount coinsurance for patients who are eligible for the health center’s sliding fee discount program without violating Medicare rules.
