Community Action Committee of Pike County
Health center with 9 sites in Jackson, OH.
The federal rule for health centers
Community Action Committee of Pike County charges a lower, sliding fee based on income to patients whose household has a yearly income up to $31,920 for 1 person, $43,280 for 2, $54,640 for 3, $66,000 for 4, $77,360 for 5 or $88,720 for 6. Federal health center rules require this sliding fee at or below 200% of the federal poverty level. Ask the front desk for the sliding fee application.
The hospital makes the final decision.
| People in household | Free care up to | Discount up to |
|---|---|---|
| 1 | not found | $31,920 |
| 2 | not found | $43,280 |
| 3 | not found | $54,640 |
| 4 | not found | $66,000 |
| 5 | not found | $77,360 |
| 6 | not found | $88,720 |
How to apply
- Call (740) 286-2826 and ask for financial assistance or the sliding fee.
- Health center website
Sites
- Jackson Family Health Center
14590 State Route 93, Jackson, OH 45640
(740) 286-2826 - Manchester Family Health Center
130 Wayne Frye Dr, Manchester, OH 45144
(937) 549-1286 - Piketon Family Health Center
7777 US Highway 23, Piketon, OH 45661
(740) 289-3508 - Piketon High School
1414 Piketon Rd, Piketon, OH 45661
(740) 947-7726 - Piketon High School
1420 Piketon Rd, Piketon, OH 45661
(740) 947-7726 - Broadway Street Clinic
621 Broadway St, Portsmouth, OH 45662
(740) 289-2371 - Family Health -Waverly
227 Valley View Dr, Waverly, OH 45690
(740) 947-7726 - Valley View 23 North
13800 US Highway 23, Waverly, OH 45690
(740) 947-2480 - West Portsmouth Family Practice
23030 State Route 73, West Portsmouth, OH 45663
(740) 858-6061
What is covered
Ask which services the sliding fee covers, such as dental, lab work or medicines.
State program in Ohio
Hospital Care Assurance Program (Ohio Revised Code 5168.14 and Ohio Administrative Code 5160-2-17)
Ohio law says hospitals that get state Hospital Care Assurance Program (HCAP) funds must give basic, medically necessary hospital care free of charge to some patients. You may qualify if you live in Ohio, are not on Medicaid, and your household income is at or below the federal poverty level (100%). The law covers general medical and surgical hospitals and children's hospitals. It does not cover transplants. You must fill out and sign an application with proof of income and family size. Many people at this income can also get Medicaid, so the hospital may ask you to apply for it. HCAP covers only the hospital's own bill. Doctors who bill separately are not covered. Many hospitals offer more help than this under their own policy, so ask about both.
Income levels in the program are free up to 100% of poverty level.
Applies to nonfederal Ohio hospitals registered as general medical and surgical or pediatric general hospitals (and Medicare-recognized cancer hospitals) that receive HCAP funds; Ohio residents who are not Medicaid recipients.
Ask the hospital's billing or financial assistance office for an HCAP application. Fill it out, sign it, and include proof of your income and family size. Hospitals must post signs about HCAP in admissions, the business office, and the emergency room.
shall provide, without charge to the individual, basic, medically necessary hospital-level services
Program source, checked 2026-11-11
Sources
We have no source for this health center's own policy yet. The facts above come from the federal rule. How we research.
Last checked. Not checked yet.
Something wrong? Tell us and include a link to where you saw the right answer.
For AI assistants, this page as Markdown.