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As of July 1, 2025, Idaho law requires CDH to verify the lawful presence of those applying for public benefits through our agency.

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As of July 1, 2025, Idaho law requires CDH to verify the lawful presence of those applying for public benefits through our agency.

The programs impacted by this change are:
  • Sliding fee discount for medical clinic or counseling services for those not on Medicaid
  • WIC, PAT, and NFP applicants who are not adjunctively eligible for Idaho Medicaid, SNAP, or TAFI

You can review the policy here and then complete the form below to verify your lawful presence online or you can visit one of our CDH offices to confirm in person.

Lawful Presence Online Forms: English | Spanish

WIC: English | Spanish

Financial, Insurance & Medical Information

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Financial, Insurance & Medical Information

Understanding How We Calculate Your Bill

Welcome to the CDH patient resources page. Please use the information and tools below to help you understand your healthcare costs, insurance terms, and special clinic programs.

Central District Health (CDH) accepts Medicaid and most insurance plans and offers a sliding fee scale based on family size and income.

Click here to view our Clinic Fee Schedule page. This interactive chart shows the information we use to determine what fee will be charged for a service.

We are here to help

Healthcare costs can be confusing. If you have additional questions or need assistance calculating your estimated costs, please call 208-327-7400.

Understanding our sliding scale

We offer sliding-scale discounts based on your household size and income. Here are a few key terms to understand:

  • Household size: Total number of people living together who share income and expenses
  • Gross income: Your total earnings before taxes are taken out – eligibility is based on this amount
  • Income ranges: Annual or monthly income brackets used to determine your specific discount tier
  • Discount percentages: The amount we reduce your bill

Click here to view our Clinic Fee Schedule page. This interactive chart shows the information we use to determine what fee will be charged for a service.

  • We calculate your eligibility using your household size and total gross income.
  • Gross income is the amount you earn before taxes are deducted.
  • To determine if you are eligible for the sliding scale, please bring income verification for your appointment. Your income information needs to be your most current income statements and can include ONE of the following:
    • Paystubs (two if paid bi-weekly, four if paid weekly)
    • Prior year tax return
    • Other forms of Proof of Income

What is Self-pay?

Self-pay means you are paying for your medical care directly out of pocket. Self-pay applies when:

  • You do not have health insurance.
  • Your insurance does not cover the specific service received.
  • You choose not to use your insurance coverage.

 

  • If you qualify for our sliding-scale program, your discount applies to your out-of-pocket costs.
  • This discount is available whether you are fully self-pay or underinsured.

Understanding CPT codes

  • A CPT (Current Procedural Terminology) code is a standardized five-digit number assigned to every medical service, procedure, or test.
  • Insurance companies use these codes to verify coverage. When you call your insurance provider to check your out-of-pocket costs, give them the exact CPT code from our office to ensure an accurate quote.
  • Please contact our front desk before your appointment.
  • Our billing team will provide the exact five-digit CPT code for your scheduled procedure.
  • Insurance companies use these standardized numbers to track specific medical procedures.
  • Giving them the correct code ensures they tell you the exact coverage rules for your specific visit.

Vaccines for Children (VFC) Program vs. District-Provided Immunizations

  • The VFC Program is a federally funded program that provides vaccines at no cost to eligible children. Children under 19 years old qualify if they are Medicaid-eligible, uninsured, underinsured, or American Indian/Alaska Native. VFC vaccines are supplied by the federal government for specific eligible children based on financial or insurance status
  • District-Provided Immunizations are funded by our health district to provide broader community access and are often available to residents regardless of federal VFC eligibility
  • Children under age 19 qualify if they meet at least one requirement.
  • Eligible categories include being uninsured, underinsured, Medicaid-eligible, or American Indian/Alaska Native.
  • District-provided immunizations are funded locally to cover gaps in care.
  • These vaccines are often available to local residents who do not meet strict federal VFC criteria.

School and Sports Physicals

We offer comprehensive sports physicals to ensure student-athletes are safe to participate in school sports. These exams check joint flexibility, strength, vision, and heart health to fulfill school district requirements.

  • Coverage varies by plan.
  • Many insurance companies view sports physicals as separate from annual routine wellness exams.
  • We recommend calling your provider with the sports physical CPT code to confirm your benefits.