# Community Health Association of Spokane

Health center organization in Lewiston, WA. The federal rule for health centers.

Community Health Association of Spokane 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.

| Household size | Free care if yearly income is up to | Discount if yearly income is 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 |

Dollar amounts use the 2026 federal poverty guidelines.

## How to apply

- Call (208) 848-8300 and ask for financial assistance.
- [Health center website](https://chas.org/)

## Sites

- CHAS Behavioral Health Center  -  Lewiston, 1534 Idaho St, Lewiston, ID 83501, (208) 848-8300
- Lewis & Clark Health Center, 1203 Idaho St, Lewiston, ID 83501, (208) 848-8300
- Latah Community Health, 803 S Main St, Ste 120, Moscow, ID 83843, (208) 848-8300
- Cheney Health Center, 1720 2nd St, Cheney, WA 99004, (509) 444-8200
- Lewis and Clark Dental Clinic, 844 6th St, Clarkston, WA 99403, (208) 848-8300
- North County Clinic, 401 S Main St, Deer Park, WA 99006, (509) 444-8200
- CHAS Behavioral Health Center, 5901 N Lidgerwood St, Suite 223, Spokane, WA 99208, (509) 444-8200
- CHAS Health Family Dental, 203 E Dalke Ave, Spokane, WA 99208, (509) 444-8200
- CHAS Health Lidgerwood Clinic, 5901 N Lidgerwood St, Suite 128, Spokane, WA 99208, (509) 444-8200
- CHAS Health Parkside Clinic, 3002 E Mission Ave, Spokane, WA 99202, (509) 444-8200
- CHAS Health at Ferris High School, 3020 E 37th Ave, Spokane, WA 99223, (509) 444-8200
- CHAS Health at North Central High, 1600 N Howard St, Spokane, WA 99205, (509) 444-8888
- CHAS Health at Rogers High School, 1622 E Wellesley Ave, Spokane, WA 99207, (509) 444-8200
- CHAS Health at Shadle Park High School, 4327 N Ash St, Spokane, WA 99205, (509) 444-8888
- CHAS Health at Shiloh Hills Elementary, 505 E Stonewall Ave, Spokane, WA 99208, (509) 444-8200
- Denny Murphy Clinic, 1001 W 2nd Ave, Spokane, WA 99201, (509) 444-8200
- East Central Dental, 2211 E Hartson Ave, Spokane, WA 99202, (509) 444-8200
- Iron Bridge Health Center, 731 N Iron Bridge Way, Spokane, WA 99202, (509) 444-8200
- Maple Street Clinic, 3919 N Maple St, Spokane, WA 99205, (509) 444-8200
- Market Street Clinic, 5921 N Market St, Spokane, WA 99208, (509) 444-8200
- North Central Clinic, 914 W Carlisle Ave, Spokane, WA 99205, (509) 444-8200
- Perry Street Clinic, 817 S Perry St, Unit B, Spokane, WA 99202, (509) 444-8200
- Southgate Clinic, 5620 S Regal St, Suite 11, Spokane, WA 99223, (509) 444-8200
- Spokane Pediatrics, a CHAS Health Clinic, 601 W 5th Ave, Suite 200, Spokane, WA 99204, (509) 444-8888
- Spokane Urgent Care-North, 5901 N Lidgerwood St, Suite 126, Spokane, WA 99208, (866) 907-8200
- East Mission Dental, 1502 N Vercler Rd, Spokane Valley, WA 99216, (509) 444-8200
- Spokane Urgent Care-Valley, 1502 N Vercler Rd, Spokane Valley, WA 99216, (509) 444-8204
- Valley Clinic, 15812 E Indiana Ave, Spokane Valley, WA 99216, (509) 444-8200

## State program in Washington

### Washington charity care law, Tier 1 hospitals (RCW 70.170.060(5)(a))

Large Washington hospitals, mostly those in health systems with three or more hospitals, must give free care if your family income is at or below 300% of the federal poverty level. From 301% to 350% the law requires a 75% discount, and from 351% to 400% a 50% discount. These discounts apply to the part of the bill you owe, so they can help with deductibles and copays even if you have insurance. The law lets a hospital lower the 75% or 50% discount if you have savings above set limits, but it cannot count your home, one car, or most retirement plans. The Department of Health lists which hospitals are Tier 1. These are minimums, and many hospitals give more. You can apply for past bills, even ones sent to collections.

Income levels in the program are free up to 300%, discount up to 400% of poverty level.

Applies to Tier 1 hospitals on the Department of Health tier list: hospitals owned or operated by a health system with three or more Washington acute hospitals, plus large acute care hospitals in the most populous county and in a large county on the southern border.

How to apply. Ask the hospital's billing or financial assistance office for a charity care application. Send it back with proof of income, such as pay stubs, W-2s, or a tax return. If you are denied, you have 30 days to appeal. Each hospital's approved policy is posted by the Department of Health: https://doh.wa.gov/data-and-statistical-reports/healthcare-washington/hospital-and-patient-data/hospital-policies. Questions: CharityCare@doh.wa.gov or 360-236-4210.

> a hospital owned or operated by a health system that owns or operates three or more acute hospitals licensed under chapter 70.41 RCW

Source https://app.leg.wa.gov/RCW/default.aspx?cite=70.170.060, checked 2026-11-11

### Washington charity care law, Tier 2 hospitals (RCW 70.170.060(5)(b))

Every other licensed Washington hospital, including small, rural, independent, for-profit, and private psychiatric hospitals, must give free care if your family income is at or below 200% of the federal poverty level. From 201% to 250% the law requires a 75% discount, and from 251% to 300% a 50% discount. These discounts apply to the part of the bill you owe, so they can help with deductibles and copays even if you have insurance. The law lets a hospital lower the 75% or 50% discount if you have savings above set limits, but it cannot count your home, one car, or most retirement plans. These are minimums, and many hospitals give more. You can apply for past bills, even ones sent to collections.

Income levels in the program are free up to 200%, discount up to 300% of poverty level.

Applies to Tier 2 hospitals on the Department of Health tier list: every licensed acute care and behavioral health hospital in Washington that is not in Tier 1.

How to apply. Ask the hospital's billing or financial assistance office for a charity care application. Send it back with proof of income, such as pay stubs, W-2s, or a tax return. If you are denied, you have 30 days to appeal. Each hospital's approved policy is posted by the Department of Health: https://doh.wa.gov/data-and-statistical-reports/healthcare-washington/hospital-and-patient-data/hospital-policies. Questions: CharityCare@doh.wa.gov or 360-236-4210.

> At a minimum, a hospital not subject to (a) of this subsection shall grant charity care per the following guidelines

Source https://app.leg.wa.gov/RCW/default.aspx?cite=70.170.060, checked 2026-11-11

## Sources

No source yet beyond the federal rule. The hospital's own policy is the final word.

Not checked yet.

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