M/H Sliding Scale - Family Life Center
Income Less Than Number In House
1
2
3
4
5
6
7
3,000
N1
N1
N1
N1
N1
N1
N1
6,500
N2
N1
N1
N1
N1
N1
N1
10,000
N3
N2
N1
N1
N1
N1
N1
13,500
N4
N3
N2
N1
N1
N1
N1
17,000
N5
N4
N3
N2
N1
N1
N1
20,500
N6
N5
N4
N3
N2
N1
N1
24,000
N7
N6
N5
N4
N3
N2
N1
27,500
N8
N7
N6
N5
N4
N3
N2
31,000
N9
N8
N7
N6
N5
N4
N3
34,500
100%
N9
N8
N7
N6
N5
N4
38,000
100%
100%
N9
N8
N7
N6
N5
41,500
100%
100%
100%
N9
N8
N7
N6
45,000
100%
100%
100%
100%
N9
N8
N7
48,500
100%
100%
100%
100%
100%
N9
N8
52,000
100%
100%
100%
100%
100%
100%
N9
55,500
100%
100%
100%
100%
100%
100%
100%
59,000
100%
100%
100%
100%
100%
100%
100%

% of full fee
Rate Schedule
Individual and Family - 111, 114-116
*Med Check - 122
*Group - 130
In-Home Family - 117
CPST - A 320 CPST - C 321
Kid PR Grp - 149, PR Ind - 147, PS Ind - 315, PSS Ind - 311
Adult PR Grp - 148, PS Grp - 316, AC - 308, PSS Grp - 322
Minimum/hr
8.00
10.00
5.00
11.00
2.00
1.00
0.00
10%
N1
8.00
10.00
5.00
11.00
2.00
1.00
0.00
20%
N2
16.00
18.00
6.00
22.00
4.00
2.00
1.00
30%
N3
24.00
27.00
9.00
33.00
7.00
2.00
1.00
40%
N4
32.00
36.00
12.00
44.00
9.00
3.00
2.00
50%
N5
40.00
45.00
15.00
55.00
11.00
4.00
2.00
60%
N6
48.00
54.00
18.00
66.00
13.00
5.00
3.00
70%
N7
56.00
63.00
21.00
77.00
15.00
6.00
3.00
80%
N8
64.00
72.00
24.00
88.00
18.00
6.00
4.00
90%
N9
72.00
81.00
27.00
99.00
20.00
7.00
4.00
100%
Standard
80.00
90.00
30.00
110.00
110.00
40.00
24.00
KHS
60/65
49
22.24
110
127.6
35/54.52
17.48/27.84/12

For single parent families with children add one dependent before setting fee
Out of state clients do not qualify for sliding scale
Out of county clients go to the next higher rate schedule
Self-employed clients sliding scale based on line 32 of IRS Form 1040
* Med check minimum charge is $10.00 and Group min charge is $5.00 even if less than 1 hour
*Private pay clients pay 20% of discounted full fee for the following services: CPST, PR and PS (ind & grp), AC

Service AAPS full fee 20% copay 40% copay 60% copay 80% copay
Individual 60.00/hour 12.00 / hour 24.00 / hour 36.00 / hour 48.00 / hour
Group 17.50 / hour 3.50 / hour 7.00 / hour 10.50 / hour 14.00 / hour
KCPC Admission 56.00 / service 11.20 / service 22.40 / service 33.60 / service 44.80 / service
PCCM 50.00 / service 10.00 / service 20.00 / service 30.00 / service 40.00 / service
Supportive Services (transport) 30.00 / hour 6.00 / hour 12.00 / hour 18.00 / hour 24.00 / hour