| GATEWAY COMMUNITY SERVICES, INC. | |||||||||
| Sliding Scale / Discounted Fee schedule | |||||||||
| Effective: March 1, 2021 | |||||||||
| (See Notes Below) | |||||||||
| Size of | UNEMPLOYED | ||||||||
| Family | NO | MINIMUM FEE | |||||||
| DISCOUNT | 0% to | NO FREE SERVICE | |||||||
| Unit | AMOUNTS | 300% | 200% | 175% | 150% | 100% | |||
| Annual Income | > than following | of Guide | of Guide | of Guide | of Guide | of Guide | |||
| 1 | 38,643 | 38,643 | 25,762 | 22,542 | 19,322 | 12,881 | |||
| 2 | 52,263 | 52,263 | 34,842 | 30,487 | 26,132 | 17,421 | |||
| 3 | 65,883 | 65,883 | 43,922 | 38,432 | 32,942 | 21,961 | |||
| 4 | 79,503 | 79,503 | 53,002 | 46,377 | 39,752 | 26,501 | |||
| 5 | 93,123 | 93,123 | 62,082 | 54,322 | 46,562 | 31,041 | |||
| 6 | 106,743 | 106,743 | 71,162 | 62,267 | 53,372 | 35,581 | |||
| 7 | 120,363 | 120,363 | 80,242 | 70,212 | 60,182 | 40,121 | |||
| 8 | 133,983 | 133,983 | 89,322 | 78,157 | 66,992 | 44,661 | |||
| ** | 13,620 | 13,620 | 9,080 | 7,945 | 6,810 | 4,540 | |||
| ** add for each additional family member > than 8 | |||||||||
| Monthly Income | |||||||||
| 1 | 3,220 | 3,220 | 2,147 | 1,878 | 1,610 | 1,073 | |||
| 2 | 4,355 | 4,355 | 2,904 | 2,541 | 2,178 | 1,452 | |||
| 3 | 5,490 | 5,490 | 3,660 | 3,203 | 2,745 | 1,830 | |||
| 4 | 6,625 | 6,625 | 4,417 | 3,865 | 3,313 | 2,208 | |||
| 5 | 7,760 | 7,760 | 5,174 | 4,527 | 3,880 | 2,587 | |||
| 6 | 8,895 | 8,895 | 5,930 | 5,189 | 4,448 | 2,965 | |||
| 7 | 10,030 | 10,030 | 6,687 | 5,851 | 5,015 | 3,343 | |||
| 8 | 11,165 | 11,165 | 7,444 | 6,513 | 5,583 | 3,722 | |||
| Discount Level: | No | 50% | 55% | 60% | UNEMPLOYED | ||||
| Discount | MINIMUM FEE | ||||||||
| Service Costs | $ | $ | $ | $ | $ | $ | $ | ||
| Adult Detox Bed Day | 235.66 | 117.83 | 106.05 | 94.26 | 5.00 | 5.00 | 5.00 | ||
| Medical Services | 323.00 | 161.50 | 145.35 | 129.20 | 5.00 | 5.00 | 5.00 | ||
| Buprenorphine fee per day | 13.88 | 6.94 | 6.25 | 5.55 | 5.00 | 5.00 | |||
| Adult Residential Level 2 | 279.68 | 139.84 | 125.86 | 111.87 | 5.00 | 5.00 | 5.00 | ||
| Adult Room & Board w/Supv. Level 2 | 46.00 | 23.00 | 20.70 | 18.40 | 5.00 | 5.00 | 5.00 | ||
| Adols. Residential Level 2 | 279.68 | 139.84 | 125.86 | 111.87 | 5.00 | 5.00 | 5.00 | ||
| Day Treatment (19.66/hr. Max of 4 hrs=78.64/day) | 19.66 | 9.83 | 8.85 | 7.86 | 5.00 | 5.00 | 5.00 | ||
| Assessment per hour | 85.91 | 42.96 | 38.66 | 34.36 | 5.00 | 5.00 | 5.00 | ||
| O/P Individual Session per hour | 86.34 | 43.17 | 38.85 | 34.54 | 5.00 | 5.00 | 5.00 | ||
| O/P Group Session per hour | 21.59 | 10.80 | 9.72 | 8.64 | 5.00 | 5.00 | 5.00 | ||
| Family Session per hour | 86.34 | 43.17 | 38.85 | 34.54 | 5.00 | 5.00 | 5.00 | ||
| Intervention Individual per hour | 71.30 | 35.65 | 32.09 | 28.52 | 5.00 | 5.00 | 5.00 | ||
| Intervention Group per hour | 17.83 | 8.92 | 8.02 | 7.13 | 5.00 | 5.00 | 5.00 | ||
| Urine Screen | 21.48 | 10.74 | 9.67 | 8.59 | 5.00 | 5.00 | 5.00 | ||
| Blood Alcohol sent out lab | 50.00 | ||||||||
| Notes: | |||||||||
| 1. Represents the combined gross income of all individuals living under the same roof that FUNCTION as a FAMILY UNIT. | |||||||||
| 2. Discount Schedule is based on 2020 Federal Poverty Guidelines (400%) Published January 13, 2021. |
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| 3. There is NO free service. The minimum fee is the lowest it can go. | |||||||||
