For Current Providers

Resources for Converge Title X Sub-Recipients


2022-2023 Scope of Work for Title X Sub-Recipients

2022-2023 Scope of Work for Title X Sub-Recipients (Download .pdf)


2022 Sliding Fee Scale for Title X Clinics

by Monthly Income

Family Size0-100% FPL101-125% FPL126-150% FPL151-175% FPL176-200% FPL201-225% FPL226-250% FPL251% FPL and greater
No ChargePatient pays 10%Patient pays 25%Patient pays 40%Patient pays 55%Patient pays 70%Patient pays 85%Full Pay
10-11331144-14161427-16991710-19821993-22652276-25482559-28312843
20-15261541-19071923-22892304-26702686-30523067-34333448-38153830
30-19191938-23992418-28792898-33593378-38383858-43184337-47984817
40-23132336-28912914-34693492-40474070-46254648-52035226-57815804
50-27062733-33823409-40594086-47354762-54125439-60886115-67656792
60-30993130-38743905-46494680-54245455-61986229-69737004-77487779
70-34933527-43664401-52395274-61126147-69857020-78587893-87318766
80-38863925-48574896-58295868-68006839-77727811-87438782-97159753

Each additional person, add $393.33/month.

Same scale must be applied to labs, medications, and supplies related to Title X services.

At or below 100% FPL, patient must not be charged for Title X services.

2022 Sliding Fee Scale for Title X Clinics (Download .xlsx)


Patient Bill of Rights

This document is for everyone within a Title X clinic—clinicians, staff, and patients—and creates a set of shared expectations for patients to know what kind of experience they’ll have in a Title X clinic.

Patient Bill of Rights in English (Download .docx)

Patient Bill of Rights in Spanish (Download .docx)


Telemedicine Platform for Title X Clinics

Medicaid Postpartum & Public Health Emergency Toolkit