Patient Eligibility Criteria:

1. Resident of Idaho
2. Uninsured (no Medicare, Medicaid, private insurance, veteran’s benefits or any access to any other coverage)
3. Low-income (based on all income in patient’s household)
4. No other established “medical home” for care
    In order to receive any services, you must qualify as a patient and bring the following eligibility information with you:

PATIENT IDENTIFICATION

• Current bill or I.D. in patient’s name and a resident of Idaho

PATIENT FINANCIALS
    Please bring all that are applicable to you.

• One month of recent paycheck stubs
• W-2
• Disability Letter
• Proof of any other form of income

Please note that eligibility verification must be updated at least annually and immediately if there are any changes.

NOT PROVIDING ALL REQUIRED VERIFICATION OF ELIGIBILITY MAY RESULT IN NOT BEING SEEN AS A PATIENT, RECEIVING LIMITED SERVICES OR DISCHARGE.