Federally Qualified Health Center

Federally Qualified Health Centers (FQHC) are community-based and patient-directed organizations that deliver comprehensive, culturally competent, high-quality primary health care services. Health centers also often integrate access to pharmacy, mental health, substance use disorder, and oral health services in areas where economic, geographic, or cultural barriers limit access to affordable health care services. Health centers deliver care to the Nation’s most vulnerable individuals and families, including people experiencing homelessness, agricultural workers, residents of public housing, and the Nation’s veterans. FQHC’s provide services regardless of patients’ ability to pay and charge for services on a sliding fee scale.


  • Deliver high-quality, culturally competent, comprehensive primary care, as well as supportive services such as health education, translation, and transportation that promote access to health care.
  • Provide services regardless of patients’ ability to pay and charge for services on a sliding fee scale (see below).
  • Operate under the direction of patient-majority governing boards of autonomous community-based organizations.
  • Develop systems of patient-centered and integrated care that respond to the unique needs of diverse medically underserved areas and populations.
  • Meet requirements regarding administrative, clinical, and financial operations.

Sliding Fee Program

Our Federally Qualified Health Center Sites offer access to quality health care for patients who don’t have insurance or don’t have enough insurance through a sliding fee discount program, with discounts available based on your current household size and income only. The program can cover you for up to 12 months—a new application is required yearly or when your household size and income changes, whichever is sooner.

If you have been approved for our Sliding Fee Discount Program, you are currently a patient at one of our health centers, and you’re still struggling to afford your prescription medications, you might be eligible for our Prescription Assistance Program.

Sliding Fee Discount Program Income Guidelines

Once you are approved, you’ll be issued an ID Card. This is not an insurance card and it cannot be presented as such outside of the network. Call our Centralized Enrollment Line to see if you qualify at (585) 471-3179.

Submit Sliding Fee Discount Program Application

Documents Required for Appointment

  • Completed Application
  • Photo ID
    • Driver's License
    • Government-issued Identification Card/Passport
  • Wages and Salary
    • Paycheck stub (4 consecutive pay periods)
    • Current income tax return
    • NYSOH Marketplace Eligibility Determination (full eligibility to enroll in insurance)
  • Self-Employed
    • Signed and dated income tax return and all schedules
    • 1099 tax form
    • Records of earning and expenses
  • Social Security
    • Current Award Letter - you can obtain an Award Letter by calling (800) 722-1213 and using their automated system
    • Benefit Letter
  • Insurance Status
    • A NY State Medicaid, Family Health Plus or Child Health Plus determination, if applicable. 
  • Unemployment Benefits
    • Award Letter
    • Benefit Check
  • Child Support / Alimony
    • Letter from Court
    • Child Support / Alimony Check Stub
  • Workers Compensation
    • Award Letter
    • Check Stub