# How do we run a sliding-scale fee policy fairly and defensibly?

URL: https://tymirahealth.com/resources/faqs/how-do-we-run-a-sliding-scale-fee-policy-fairly-and-defensibly
For: Finance | Billing and payments | Reviewed by Independent clinical reviewer, Registered mental health clinician, Kenya | Last reviewed 8 November 2026

**Answer:** Write it down: eligibility criteria, the fee bands, the evidence you accept, who approves, and how often you review. Apply it consistently to avoid accusations of favouritism, and record each decision in the billing record, not in clinical notes. Collect only the financial information you need, as the Data Protection Act requires minimisation. Budget for it: track discount value by service line so management can see the cost. Review cases periodically as circumstances change.

Sources: Kenya Law: https://new.kenyalaw.org/akn/ke/act/2019/24 - American Psychological Association: https://www.apa.org/ethics/code

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