Sliding Fee Scale & Eligibility Worksheet

Federal poverty guidelines are issued annually, vary by household size and differ for Alaska and Hawaii — so a workbook shipping figures would quietly apply last year’s numbers to this year’s patients and nobody would notice. You enter your own table and your own adopted discount tiers; the workbook applies them consistently to every household, computes the percentage of guideline, and records who determined it and when. A Settings cell holds the guideline year, so an out-of-date table is visible instead of silent.

• Percentage of guideline and tier computed per household
• A guideline-year field that makes a stale table visible
• Gaps between discount bands reported rather than rounded away