The Sliding Fee Discount Program: Updates and Developments

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One of the foundational tenets of the Health Center Program, which dates back to the program’s inception, is the assurance by each health center that no patient will be denied services due to an individual's or family’s inability to pay for such services. The design, development and implementation of an effective Sliding Fee Discount Program (SFDP) is vital to meeting this core requirement. While the fundamental components related to SFDP eligibility have remained relatively stable throughout the years, several factors (e.g., the addition of new “required” elements by the Health Resources and Services Administration (HRSA); health centers’ expansion of their scopes to include complex services and treatments) have led to a greater degree of difficulty in establishing a SFDP that is reasonable, effective and compliant, while achieving the overall goals of minimizing financial barriers and ensuring access to care. Changes in how some health centers approach the SFDP in the wake of the recent COVID-19 pandemic have also resulted in additional layers of complexity.

This 3-part webinar series will provide a brief introduction to the HRSA-required SFDP elements, as set forth in the Health Center Program Compliance Manual, along with targeted advice and tips on development and application of the SFDP to complicated and multi-faceted services. Participants will explore aspects of the SFDP that present the most common areas of difficulty in design and implementation and that lead to highest risks of non-compliance.  

This webinar series is available at a discount to Premium Plan members.

Target Audience

  • Health Center executive staff
  • Financial leadership and staff, including billing and collection staff
  • Administrative/operations staff
  • Compliance officers
  • Contracting personnel
  • Other staff assisting with the development and implementation of the Sliding Fee Discount Program
Course summary
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Michael Glomb

Michael Glomb is a Partner in the firm's federal grants and health care groups, and has over three decades of experience advising community-based organizations on a broad range of legal matters. Specifically, he offers guidance to Federally Qualified Health Centers, other federal grantees, and several professional and trade associations on the 340B drug discount program, tax exemption, grants law, and fraud matters. [Full Bio]

Marcie Zakheim

A Partner at the firm, Marcie specializes in health care law, particularly in the areas of federal grants, grant-related requirements and grants management related to the federal health center program. Health centers turn to Marcie as a resource for knowing not only the letter of the law, but also the likely interpretation of requirements by federal policymakers, including the Health Resources and Services Administration (HRSA). [Full Bio]

Participants can earn up to 4.80 CPE credits in Specialized Knowledge and Applications per webinar upon completion of all course requirements.


If you purchase CPE credit for this webinar you must satisfy the following conditions in order to receive your certificate:

  1. Answer at least 5 of the 7 polling questions during each 75 minute webinar and 6 of the 8 polling questions during the 90 minute webinar.
  2. Complete the evaluation survey after the conclusion of the webinar or in the follow-up email

Upon completion of these requirements, FTLF will email you your CPE Certificate within seven (7) business days.


  • Prerequisites: None 
  • Target Audience: Health Center executive staff, financial leadership and staff, including billing and collection staff, administrative/operations staff, compliance officers, contracting personnel, and other staff assisting with the development and implementation of the Sliding Fee Discount Program
  • Advanced Preparation: None  
  • Program Level: All
  • Delivery Method: Group Internet Based
  • Attendance Requirements: In order to be awarded the full credits, you must respond to 5 out of 7 polling questions in the 75 minute webinars and 6 out of the 8 polling questions in the 90 minute webinar.

Feldesman Tucker Leifer Fidell LLP is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website (formerly

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Access to the recorded version of this webinar series is included in your purchase.


The webinars in this course are only available for purchase as an entire webinar series. The recorded version of each webinar will be available in your account within seven (7) business days of each session and you will have access to the recordings for 180 days after the conclusion of the series. Once posted to your account, you can view each webinar anytime on-demand during the access period identified in your purchase confirmation. For additional information on viewing and accessing webinars, view our full terms and conditions here.


Once the live series has concluded, a recorded version of the webinar series will be available.


All registrations made the day of a live webinar must be completed using a credit card or PayPal. We do not accept check payments or purchase orders for live webinars on the day of the webinar. If you wish to pay by check, please register in enough time for your check to reach our office; we must receive your check before we grant access to the webinar. If we receive your check after the live webinar, we will grant you access to the recorded webinar. For the most current information, please visit our FAQ page.


For orders of live webinars, FTLF will issue a full refund for cancellations requested at least one week PRIOR to the live webinar. We do not provide refunds for no-shows; however, you will have access to the recorded version of the webinar. If you ordered the wrong webinar and need to transfer your registration to a different program, please Contact Us. View our full policy on refunds and cancellations on our FAQ page.

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