FQHC Sliding Fee Discount

For people who have no health insurance or high deductible plans – and want to access our medical, pediatric dental and behavioral health services – read on!

Community Clinical Services offers a sliding fee discount so that care is affordable.

2019 FQHC Sliding Fee Scale by Dollar increments

Call us at 207-777-8202 if you are Looking for Affordable Medical Care.

Community Clinical Services (CCS) is a Federally Qualified Health Center (FQHC). As an FQHC we are able to provide services to qualified individuals and their families by offering:

  • A sliding-fee discount designed to make our care more affordable to patients who are income eligible. People with  income below 100% of poverty receive a full discount.  This means there is no fee. Here is the link for the application and instructions.   2018 Financial Application and Letter
  • Assistance with the cost of brand name and generic drugs and medicines through the 340B Prescription Drug Program for our patients.  Please call Lynn Poulin at 755-3015 or email her at lpoulin@stmarysmaine.com to get more information on how we can help our existing patients access more affordable or free prescribed medications.  (This is not an emergency service)
  • Additional social services to meet needs of patients and families.
  • Preventative health care and education to encourage patients to prevent illness before it happens.

Who can we help with our Sliding Fee Discount?

People who are residents of Lewiston, Auburn, Mechanic Falls, Poland, Minot, New Gloucester, Sabattus, Lisbon, Lisbon Falls, and Durham are our primary patient population however we can consider extending our discount to Maine residents who become patients.  You do not need to be a U.S. citizen.  You will need to show us proof of your income for the past 3 months.

Do you have health insurance through an employer with high deductibles? Perhaps your insurance does not cover doctor’s office visits. We can assist by applying our sliding fee scale to your  deductibles or co-pays. All of our patients are eligible for our discount pharmacy program (340B).

Do you have Medicare coverage?
We can assist by applying our sliding fee scale to your co-insurance amounts and copay.

Are you without health insurance?
We can assist you by applying our sliding fee scale to your office charges.  We can also help you apply for MaineCare and the Affordable Care Act (Marketplace/Obama Care) insurance.

Does the discount apply to other services?
The sliding fee discount only applies to the services provided by CCS practices and our outpatient primary care, pediatric dental, and behavioral health services.

CCS is affiliated with the St. Mary’s Health System. Because of St. Mary’s commitment to the community, the hospital has established a free care program. Most of CCS sliding fee patients also qualify for St. Mary’s free care program. NOT ALL OF the St. Mary’s Regional Hospital services are covered under the free care system.  To apply for the free care program through St. Mary’s, you can download this application 2018 Financial Application and Letter (CCS and St. Mary’s uses the same application to make it easier for you) or contact the Patient Rep. office at 207-777-8202. It is important to remember that services at the hospital will have charges that will be billed to you. You can discuss which services are covered and which services you will be responsible for with your Patient Representative.

What else do I need to know?

  • This is not an insurance program- you have to re-apply at least every 6 months
  • You do not pay premiums
  • Your cost is your part of the service fee after the sliding fee discount has been applied to your charges
  • You have to keep your eligibility current by submitting the needed forms prior to the eligibility end date
  • Payment Plans are available for balances that are due

You can find out more information from your Community Clinical Services provider or you can download the 2018 Financial Application and Letter. If you do not yet have a health care provider, call the Physician Referral Line at 207-777-8899.  We are accepting patients in all of our practices and look forward to helping you maintain and increase your health!

Community Clinical Services Administrative Office
B-Street Community Center
57 Birch Street, Suite 201
Lewiston, ME 04240
Fax 207-786-8805


Management and Leadership

Joan Churchill, MS
FQHC Executive Director/CFO
Phone 207-513-3897

Megan Brewer, DO,

Medical Director



Lynn Poulin
Patient Assistance Lead
Phone: 207-755-3015

Donna Martinez
Director,  Behavioral Health Programming and SBHC
Phone:  207-777-4198

Jessica Moulton
Director, Primary Care Services

Bill Worth
CCS Psychiatry & Family Behavioral Practice Manager

Kristy Gelinas
CCS SBHC & OPC Practice Manager